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Afr J Paediatr Surg ; 14(2): 34-36, 2017.
Article in English | MEDLINE | ID: mdl-29511138

ABSTRACT

Oesophageal atresia is a common malformation in which the survival rate in developed countries is around 90%, while its mortality remains very high in developing countries. Oesophageal stricture post-oesophageal atresia repair is traditionally treated by non-surgical approach. However, surgical resection of the oesophageal stricture may be necessary after the failure of dilations. We report one case of refractory oesophageal stricture post-EA repair in a 3-year-old girl, who underwent oesophageal atresia Type III repair at 11-day-old. We performed an end-to-end oesophageal anastomosis with tracheal oesophageal fistula closure by extra-pleural approach. The patient was lost to follow-up for 3 years. She was seen later for anastomotic oesophageal stricture with the failure of oesophageal dilatations. Surgical resection of oesophageal stricture was performed with end-to-end oesophageal anastomosis.


Subject(s)
Constriction, Pathologic/surgery , Esophageal Atresia/surgery , Esophagus/surgery , Tracheoesophageal Fistula/surgery , Anastomosis, Surgical/adverse effects , Child, Preschool , Constriction, Pathologic/diagnostic imaging , Constriction, Pathologic/etiology , Dilatation , Esophageal Atresia/diagnostic imaging , Esophageal Stenosis/diagnostic imaging , Esophageal Stenosis/therapy , Esophagus/diagnostic imaging , Esophagus/pathology , Female , Humans , Infant, Newborn , Lost to Follow-Up , Reoperation , Tracheoesophageal Fistula/diagnostic imaging
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