Spitz L, Ali M, Brereton R J
J Pediatr Surg. 1981 Feb;16(1):4-7. doi: 10.1016/s0022-3468(81)80105-4.
An analysis of 18 infants with combined esophageal and duodenal atresia is presented. A total of 50 other associated anomalies were identified in the 18 infants. These predominantly involved the genitourinary (11), cardiac (9), anorectal (8), and gastrointestinal (8) systems. There were 6 early survivors (33% survival rate), 1 of whom died later from an unrelated cause. It is suggested that in an otherwise health infant the primary approach should be towards the esophageal atresia and tracheoesophageal fistula. A wide gastrostomy is mandatory. Repair of the duodenal obstruction may safely be postponed for a few days. In the absence of an associated tracheoesophageal fistula, a primary duodenoduodenostomy and gastrostomy with a transanastomotic feeding tube is the approach of choice.
本文对18例合并食管闭锁和十二指肠闭锁的婴儿进行了分析。在这18例婴儿中，共发现50种其他相关异常。这些异常主要累及泌尿生殖系统（11种）、心脏（9种）、肛门直肠（8种）和胃肠道（8种）系统。有6例早期存活者（存活率33%），其中1例后来死于无关原因。建议对于其他方面健康的婴儿，主要治疗方法应针对食管闭锁和食管气管瘘。必须进行广泛的胃造口术。十二指肠梗阻的修复可安全推迟几天。在没有相关食管气管瘘的情况下，首选的方法是一期十二指肠十二指肠吻合术和带经吻合口喂养管的胃造口术。
