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Type: Artigo de periódico
Title: Lateral esophagostomy: An alternative in the initial management of long gap esophageal atresia without fistula
Author: Aloisi, AS
de Freitas, S
Colombo, AC
Amalfi, R
Sbragia-Neto, L
Bustorff-Silva, JM
Abstract: The authors report an alternative method of cervical esophagostomy that was used in a child with type A esophageal atresia. This method involved performing a lateral esophagostomy in the proximal pouch, preserving its distal end, allowing the child to swallow normally, without choking, while stimulating the spontaneous growth of the proximal esophagus. As a result, the infant could be discharged home on G-tube feedings while waiting for spontaneous growth of the proximal pouch to occur, There were no episodes of aspiration during this period, and definitive reconstruction through end-to-end esophageal anastomosis was accomplished successfully at the age of 18 months. The authors consider that this alternative might increase the possibility of a definitive correction through delayed primary anastomosis of the infant's own esophagus in children with this type of malformation. J Pediatr Surg 35:1827-1829. Copyright (C) 2000 by W.B. Saunders Company.
Subject: esophageal atresia
cervical esophagostomy
Country: EUA
Editor: W B Saunders Co
Rights: fechado
Identifier DOI: 10.1053/jpsu.2000.19273
Date Issue: 2000
Appears in Collections:Unicamp - Artigos e Outros Documentos

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