Top

Published in:

01-11-2007 | Technical Innovation

Temporary occlusion of the gastroesophageal junction: a modified technique for stabilization of the neonate with esophageal atresia and tracheoesophageal fistula requiring mechanical ventilation

Authors: Bastian Domajnko, George T. Drugas, Walter Pegoli Jr

Published in: Pediatric Surgery International | Issue 11/2007

Abstract

Management of newborn infants with esophageal atresia and tracheoesophageal fistula that require mechanical ventilation is challenging. Without rapid control of the fistula, these patients develop profound respiratory failure and massive distention of the gastrointestinal tract. We present the case of a newborn who upon intubation exhibited respiratory failure and cardiovascular collapse, and in whom traditional intra-operative techniques to gain control of the tracheoesophageal fistula were unsuccessful. We describe a technique that temporarily occludes the gastroesophageal junction, and allows for stabilization of the neonate and definitive repair of the tracheoesophageal fistula.

Maoate K, Myers NA, Beasley SW (1999) Gastric perforation in infants with oesophageal atresia and distal tracheo-oesophageal fistula. Pediatr Surg Int 15(1):24–27PubMedCrossRef

Fann JI, Hartman GE, Shocat SJ (1988) ‘Waterseal’ gastrostomy in the management of premature infants with tracheoesophageal fistula and pulmonary insufficiency. J Pediatr Surg 23:29–31PubMedCrossRef

Ratan SK, Rattan KN, Ratan J et al (2005) Temporary transgastric fistula occlusion as salvage procedure in neonates with esophageal atresia with wide distal fistula and moderate to severe pneumonia. Pediatr Surg Int 21(7):527–531PubMedCrossRef

Filston HC, Chitwood WR, Schkolne B et al (1982) The Fogarty balloon catheter as an aid to management of the infant with esophageal atresia and tracheoesophageal fistula complicated by severe RDS or pneumonia. J Pediatr Surg 17:149–151PubMedCrossRef

Templeton JM Jr, Templeton JJ, Schnaufer L et al (1985) Management of esophageal atresia and tracheoesophageal fistula in the neonate with severe respiratory distress syndrome. J Pediatr Surg 20(4):394–397PubMedCrossRef

Andropoulos DB, Rowe RW, Betts JM (1998) Anaesthetic and surgical airway management during tracheo-oesophageal fistula repair. Paediatr Anaesth 8(4):309–313

Greemberg L, Fisher A, Katz A (1999) Novel use of neonatal cuffed tracheal tube to occlude tracheo-oesophageal fistula. Paediatr Anaesth 9:339–341PubMedCrossRef

Donn AM, Zak LK, Bozynski ME et al (1990) Use of high-frequency jet ventilation in the management of congenital tracheoesophageal fistula associated with respiratory distress syndrome. J Pediatr Surg 25(12):1219–1221PubMedCrossRef

Bloom BT, Delmore P, Park YI et al (1990) Respiratory distress syndrome and tracheoesophageal fistula: management with high-frequency ventilation. Crit Care Med 18(4):447–448PubMedCrossRef

10.

Fagelman KM, Boyarsky A (1985) Temporary banding of the gastroesophageal junction in the critically ill neonate with esophageal atresia and tracheoesophageal fistula. Surgery 98(3):594–597PubMed

Title: Temporary occlusion of the gastroesophageal junction: a modified technique for stabilization of the neonate with esophageal atresia and tracheoesophageal fistula requiring mechanical ventilation
Authors: Bastian Domajnko
George T. Drugas
Walter Pegoli Jr
Publication date: 01-11-2007
Publisher: Springer-Verlag
Published in: Pediatric Surgery International / Issue 11/2007
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-007-2014-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Temporary occlusion of the gastroesophageal junction: a modified technique for stabilization of the neonate with esophageal atresia and tracheoesophageal fistula requiring mechanical ventilation

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 11/2007

Gastroschisis and exomphalos in Ireland 1998–2004. Does antenatal diagnosis impact on outcome?

Associated malformations in Morgagni hernia

Clinical applications of computerized tomography 3-D reconstruction imaging for diagnosis and surgery in children with large liver tumors or tumors at the hepatic hilum

Outcomes and management of rectal injuries in children

Acute and chronic gastric volvulus in infants and children: who should be treated surgically?

Recurrent neonatal gastro-intestinal problems after spontaneous intestinal perforation