Chan K L, Saing H
Department of Surgery, Queen Mary Hospital, University of Hong Kong.
J Pediatr Surg. 1995 May;30(5):668-70. doi: 10.1016/0022-3468(95)90686-x.
The authors have used the technique of combined retrograde flexible endoscopy and fluoroscopy on two newborn babies with esophageal atresia (EA) without tracheoesophageal fistula (TEF). This technique accurately determined the gap between the two esophageal ends and predicted the feasibility and timing of delayed primary anastomosis. Esophagostomy was not performed, and continuous Replogle tube suction of the upper pouch was maintained during the period of waiting for 10 and 14 weeks, respectively. Gastrostomy feeding allowed satisfactory growth and development during the period of waiting for esophageal growth.
作者对两名患有食管闭锁(EA)且无食管气管瘘(TEF)的新生儿采用了逆行性柔性内镜检查与荧光透视相结合的技术。该技术准确测定了食管两端之间的间隙,并预测了延迟一期吻合术的可行性和时机。未进行食管造口术,在分别等待10周和14周的期间,对上段食管盲袋持续进行莱普洛格管抽吸。在等待食管生长的期间,胃造口喂养使患儿生长发育良好。