Conforti Andrea, Morini Francesco, Bagolan Pietro
Neonatal Surgery Unit, Department of Medical and Surgical Neonatology, Bambino Gesù Children Hospital - Research Institute, Piazza S. Onofrio 4, 00165 Rome, Italy.
Neonatal Surgery Unit, Department of Medical and Surgical Neonatology, Bambino Gesù Children Hospital - Research Institute, Piazza S. Onofrio 4, 00165 Rome, Italy.
Semin Pediatr Surg. 2014 Oct;23(5):261-9. doi: 10.1053/j.sempedsurg.2014.09.006. Epub 2014 Sep 4.
Although most patients with esophageal atresia (EA) and tracheo-esophageal fistula (TEF) may benefit from "standard" management, which is deferred emergency surgery, some may present unexpected elements that change this paradigm. Birth weight, associated anomalies, and long gap can influence the therapeutic schedule of the patients with EA/TEF and can make their treatment tricky. As a consequence, detailed information on these aspects gives the power to develop a decision-making process as correct as possible. In this article, we will review the most important factors influencing the treatment of patients with EA/TEF and will share our experience on the diagnostic and therapeutic tips that may provide pivotal help in the management of such patients.
虽然大多数食管闭锁（EA）和气管食管瘘（TEF）患者可能受益于“标准”治疗，即延期急诊手术，但有些患者可能会出现改变这一模式的意外情况。出生体重、合并畸形和长段食管闭锁可影响EA/TEF患者的治疗方案，使其治疗变得棘手。因此，有关这些方面的详细信息有助于制定尽可能正确的决策过程。在本文中，我们将回顾影响EA/TEF患者治疗的最重要因素，并分享我们在诊断和治疗技巧方面的经验，这些经验可能为管理此类患者提供关键帮助。
