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Afr J Paediatr Surg ; 14(2): 34-36, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-29511138

RESUMO

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.


Assuntos
Constrição Patológica/cirurgia , Atresia Esofágica/cirurgia , Esôfago/cirurgia , Fístula Traqueoesofágica/cirurgia , Anastomose Cirúrgica/efeitos adversos , Pré-Escolar , Constrição Patológica/diagnóstico por imagem , Constrição Patológica/etiologia , Dilatação , Atresia Esofágica/diagnóstico por imagem , Estenose Esofágica/diagnóstico por imagem , Estenose Esofágica/terapia , Esôfago/diagnóstico por imagem , Esôfago/patologia , Feminino , Humanos , Recém-Nascido , Perda de Seguimento , Reoperação , Fístula Traqueoesofágica/diagnóstico por imagem
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