Rossi C, Dòmini M, Aquino A, Persico A, Lelli Chiesa P
Divisione Clinicizzata di Chirurgia Pediatrica, Università "G. D'Annunzio", Pescara, Italy.
Pediatr Surg Int. 1998 Sep;13(7):535-6. doi: 10.1007/s003830050395.
The authors studied the true "dynamic" distance between the esophageal stumps in type I atresia in order to perform the delayed anastomosis at the most favorable time. The position of the inferior pouch was fluoroscopically evaluated in four patients, inserting a Hegar dilator through the gastrostomy. The superior esophageal pouch was delineated by a Replogle tube. No anesthesia was required. In all cases the procedure was simple, safe, fast, and accurate. No complications occurred, and patients could be operated upon at the optimal time.
作者研究了I型食管闭锁中食管残端之间的真正“动态”距离，以便在最有利的时间进行延迟吻合术。通过胃造口插入海加扩张器，对4例患者的下食管囊位置进行了透视评估。用雷普洛格管勾勒出上食管囊。无需麻醉。在所有病例中，该操作简单、安全、快速且准确。未发生并发症，患者可在最佳时机接受手术。
