Goring Jonathan, Raghavan Ashok, Thevasagayam Ravi, Pilling Elizabeth, Shepherd Elizabeth, Murthi Govind V
Paediatric Surgical Unit, Sheffield Children's Hospital, Western Bank, Sheffield, S10 2TH, UK.
Department of Paediatric Radiology, Sheffield Children's Hospital, Western Bank, Sheffield, S10 2TH, UK.
J Indian Assoc Pediatr Surg. 2020 Nov-Dec;25(6):397-400. doi: 10.4103/jiaps.JIAPS_205_19. Epub 2020 Oct 27.
Newborn babies presenting with difficulties related to the aerodigestive tract (ADT) are often provisionally diagnosed and managed as having oesophageal atresia +/- tracheo-oesophageal fistula. Continuing difficulties with management and abnormal findings on investigations should lead to the consideration of other congenital anomalies of the ADT, including complete larnygo-tracheo-oesophageal cleft (LTOC). We present two patients who were eventually diagnosed with complete LTOC and care was withdrawn. We discuss the inherent difficulties in reaching this diagnosis and present an algorithm to help manage these rare and challenging situations.
出现与气消化道（ADT）相关困难的新生儿通常会被初步诊断为食管闭锁并伴有或不伴有气管食管瘘，并进行相应治疗。若持续存在治疗困难且检查结果异常，则应考虑ADT的其他先天性异常，包括完全性喉气管食管裂（LTOC）。我们报告了两名最终被诊断为完全性LTOC并停止治疗的患者。我们讨论了做出这一诊断所固有的困难，并提出了一种算法以帮助处理这些罕见且具有挑战性的情况。
