Kolar Mila, Drstić Zoran, Lukac Marija, Stanković Volodja, Kostić Marko
Srp Arh Celok Lek. 2004 Oct;132 Suppl 1:115-8. doi: 10.2298/sarh04s1115k.
The objective of this article was to present possibilities of percutaneous gastrostomy for management of a newborn with esophageal and duodenal atresia. Percutaneous gastrostomy is the most commonly employed technique for providing long-term enteral nutrition. In adults, it is also method of choice for decompression of digestive tract in palliative treatment of malignant and non malignant diseases. This is a case report of two-day old newborn with esophageal atresia with distal tracheoesophageal fistula and duodenal atresia. Percutaneous decompressive gastrostomy was used as a temporary bridge to definite surgery for management of respiratory dysfunction of this newborn, caused by dilated stomach. Surgical management (esophageal and duodenal reconstructions) as well as intra- and postoperative period were without any complications. Three months after surgical management, the infant is well and without any difficulties.
本文的目的是介绍经皮胃造口术用于治疗患有食管和十二指肠闭锁的新生儿的可能性。经皮胃造口术是提供长期肠内营养最常用的技术。在成人中,它也是恶性和非恶性疾病姑息治疗中消化道减压的首选方法。这是一例关于一名两天大新生儿的病例报告,该新生儿患有食管闭锁并伴有远端气管食管瘘以及十二指肠闭锁。经皮减压胃造口术被用作该新生儿因胃扩张导致呼吸功能障碍的确定性手术的临时桥梁。手术治疗(食管和十二指肠重建)以及术中和术后均无任何并发症。手术治疗三个月后,婴儿情况良好,没有任何问题。