胸腔镜治疗小儿气管支气管残余物继发先天性食管狭窄。
Thoracoscopic management of congenital esophageal stenosis secondary to tracheobronchial remnant in pediatric patients.
机构信息
Pediatric Surgery Department, Fundación San Vicente Children's Hospital. Medellín, Colombia.
Medical Department, El Bosque University. Bogotá, Colombia.
出版信息
Cir Pediatr. 2021 Jul 1;34(3):134-137.
INTRODUCTION
Congenital esophageal stenosis (CES) is an extremely rare pathology in children, with an incidence of 1/25,000-50,000 live births. According to its histopathological classification, there are three types of CES: fibromuscular hyperplasia, membranous diaphragm, and tracheobronchial remnants.
CLINICAL CASE
We present the clinical case of a 39-month-old male patient diagnosed with CES secondary to tracheobronchial remnants, with multiple vomit and reflux episodes since he was 4 months old. He was admitted at the emergency department with respiratory distress. An upper GI endoscopy and an esophagogram were initially carried out. Stenosis resection and thoracoscopic esophageal anastomosis were performed.
CONCLUSIONS
Tracheobronchial remnants are the second most common presentation of congenital esophageal stenosis. They can be managed through dilatations or surgery according to etiology.
引言
先天性食管狭窄（CES）在儿童中极为罕见，发病率为每 25000-50000 例活产儿中有 1 例。根据其组织病理学分类，CES 有三种类型：纤维肌性增生、膜性膈和气管支气管残余物。
临床病例
我们报告了一例 39 个月大的男性患者，因气管支气管残余物导致 CES，自 4 个月大以来出现多次呕吐和反流。他因呼吸窘迫被收入急诊病房。最初进行了上消化道内镜检查和食管造影。进行了狭窄切除术和胸腔镜食管吻合术。
结论
气管支气管残余物是先天性食管狭窄的第二大常见表现。根据病因，可以通过扩张或手术进行治疗。
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