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KMID : 0364019970300020236
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Korean Journal of Thoracic and Cardiovascular Surgery
1997 Volume.30 No. 2 p.236 ~ p.240
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End to End Anastomosis of Type A(long gap) Esophageal Atresia in 1,200 gram Premature Baby -A Case Report-
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Abstract
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The management of neonate with long gap atresia without a fistula(type A) is complex and controversial. Various esophageal reconstruction include use of native esophagus or replacement with colon, stomach and small bowel. A severe premature male,
at 28
weeks gestation weighing 1.2kg, was born with type A esophageal atresia in Chonnam University Hospital. Initial treatment consisted of gastrostomy under the local anesthesia and suctioning of proximal pouch, and than underwent delayed esophageal
end to
end anastomosis. A minimal leakage and mediastinitis ocurred postoperatively, but was treated by adequate drainage and negative suction from the leakage site through the gastrostomy. The patient was discharged in good general condition and normal
weight
of 5.4kg after 4 months after the surgery.
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KEYWORD
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