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KMID : 0364019920250090891
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Korean Journal of Thoracic and Cardiovascular Surgery
1992 Volume.25 No. 9 p.891 ~ p.899
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Surgical Repaire of Esophageal Atresia with Tracheoesophageal Fistual -Report of Three Cases-
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허강배
조성래/하현철/김창수/이재성/김송명
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Abstract
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Esophageal atresia with tracheoesophageal fistula may occur as separate, but usually occur in combination. First described by Thomas Gibson in 1696, esophageal atresia was not successfully treated until 1939 when the first two survivors of staged
correction were one-stage primary repair.
We report three cases of esophageal atresia with tracheoesophageal fistula of which were treated with one-stage surgical repair method. The operation was performed transpleurally through right 4th intercostal space. The fistula in the trachea was
closed
with interrupted 5-0 prolene sutures and esophageal anastomosis was performed with 3-0 prolene single layer sutures in all cases.
All patients tolerated the operative procedures and recovered uneventfully. On follow-up study, anastomotic stricture was developed in one patients, so esophageal dilatation was performed for it with the Gr?zig balloon catheter and the result was
satisfactory. The other patients were well-being without any complication.
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