克卢思Ⅲb型食管闭锁：诊断困境及使用婴儿饲管的陷阱

Kluth Type IIIb Esophageal Atresia: Diagnostic Dilemma and Pitfalls of Using Infant Feeding Tube.

作者信息

Gupta Rahul, Sharma Pramila, Goyal Ram Babu

机构信息

Department of Paediatric Surgery, Kota Medical College, Kota, India.

Department of Paediatric Surgery, SMS Medical College, Jaipur, Rajasthan, India.

出版信息

J Indian Assoc Pediatr Surg. 2018 Apr-Jun;23(2):96-99. doi: 10.4103/jiaps.JIAPS_181_17.

DOI:10.4103/jiaps.JIAPS_181_17

PMID:29681702

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5898213/

Abstract

We describe three male neonates where infant feeding tube (IFT) passed 18-20 cm in the upper esophageal pouch. A blunt-tipped red rubber catheter confirmed esophageal atresia (EA) with long upper pouch in all three cases. Definitive management revealed EA with tracheoesophageal fistula and long overlapping upper esophageal pouch consistent with Kluth Type IIIb variant in two patients. Importance of using red rubber catheter at the pediatric practice instead of IFT is stressed.

摘要

我们描述了三名男婴，他们的婴儿喂养管（IFT）在上食管袋内插入了18 - 20厘米。在所有三例中，一根钝头红色橡胶导管证实了食管闭锁（EA）且上袋较长。最终的处理显示，两名患者存在食管闭锁合并气管食管瘘以及与Kluth IIIb型变异相符的较长且重叠的上食管袋。强调了在儿科实践中使用红色橡胶导管而非IFT的重要性。