Thomason M A, Gay B B
Pediatr Radiol. 1987;17(3):197-201. doi: 10.1007/BF02388159.
Esophageal atresia with tracheosophageal fistula may be associated rarely with distal esophageal stenosis. Three patients are reported with this combination of esophageal anomalies. In addition the clinical and radiologic features of 24 patients previously reported in the literature are reviewed. Careful evaluation of the distal esophagus during postoperative contrast studies in patients with esophageal atresia should be obtained to exclude distal stenosis. The presence of unrecognized distal esophageal stenosis may lead to complications of postoperative anastomotic leaks, poor healing of the anastomosis, aspiration, and impaction of a solid food bolus proximal to the stenosis.
食管闭锁合并气管食管瘘很少会伴有远端食管狭窄。本文报告了3例患有这种食管异常组合的患者。此外，还回顾了先前文献中报道的24例患者的临床和放射学特征。对于食管闭锁患者，术后造影检查时应仔细评估远端食管，以排除远端狭窄。未被识别的远端食管狭窄的存在可能导致术后吻合口漏、吻合口愈合不良、误吸以及狭窄近端固体食物团块嵌塞等并发症。
