Glait Megan, Wong Jonathan, Krasaelap Amornluck, Wagner Amy, Lal Dave, Schneider John, Lerner Diana
From the Medical College of Wisconsin, Wauwatosa, WI.
Division of Pediatric Gastroenterology, Hepatology and Nutrition, Children's Hospital of Wisconsin, Milwaukee, WI.
JPGN Rep. 2021 Aug 5;2(3):e114. doi: 10.1097/PG9.0000000000000114. eCollection 2021 Aug.
Esophageal atresia and tracheoesophageal fistula (TEF) are rare birth anomalies typically requiring corrective surgery over the first few months of life. Esophageal surgery can lead to a life-threatening anastomotic leak. Esophageal wound vacuums have seen increased use in adults and one cohort of children as a therapeutic modality. This case study explores a tertiary care pediatric hospital's introductory experience in utilizing this technique. A 19-month-old male underwent staged repair for esophageal atresia/tracheoesophageal fistula requiring an esophageal stricture resection with primary anastomosis. An anastomotic leak was successfully managed with wound vacuums. Our experiences highlighted the need for individualized treatment plans with this therapy based on feeding capabilities, side effects of the vacuum, placement method, and replacement strategies.
食管闭锁和气管食管瘘（TEF）是罕见的先天性畸形，通常需要在出生后的头几个月内进行矫正手术。食管手术可能导致危及生命的吻合口漏。食管伤口负压吸引在成人和一组儿童中作为一种治疗方式的使用有所增加。本病例研究探讨了一家三级儿科医院在使用该技术方面的初步经验。一名19个月大的男性因食管闭锁/气管食管瘘接受了分期修复，需要进行食管狭窄切除并一期吻合。通过伤口负压吸引成功处理了吻合口漏。我们的经验强调，基于喂养能力、负压吸引的副作用、放置方法和更换策略，对这种治疗需要制定个性化的治疗方案。
