Staged correction of multiple congenital malformations
- Authors: Gebekova S.A.1,2, Makhachev B.M.1,2, Meilanova F.V.1, Abasov M.N.2, Magomedov A.D.1,2, Ashurbekov V.T.1
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Affiliations:
- Dagestan State Medical University
- N.M. Kuraev Children’s Republican Clinical Hospital
- Issue: Vol 27, No 1 (2023)
- Pages: 62-66
- Section: CASE REPORT
- Submitted: 06.04.2023
- Accepted: 06.04.2023
- Published: 06.04.2023
- URL: https://jps-nmp.ru/jour/article/view/656
- DOI: https://doi.org/10.55308/1560-9510-2023-27-1-62-66
- ID: 656
Cite item
Abstract
Introduction. The authors present their own clinical observation of staged surgical correction of multiple congenital malformations in patient A. from her neonatal period up to the age of 1 year 4 months.
Clinical observation. After a comprehensive examination and staged correction of congenital malformations, the surgeons made a final stage of surgical correction of esophageal atresia - delayed esophago-esophagoanastomosis. The postoperative period was complicated by failure and stenosis of the esophageal anastomosis. After conservative therapy and bougienage of the esophagus, the patient was discharged from the hospital in a satisfactory state.
Conclusion. A favorable outcome was seen in a newborn girl with multiple congenital malformations due to timely diagnostics in the postnatal period and staged surgical correction. The authors also describe the algorithm of diagnostics and management of this patient. The obtained results have motivated the researchers to make a conclusion that step-by-step correction of multiple congenital malformations can bring good results
About the authors
S. A. Gebekova
Dagestan State Medical University; N.M. Kuraev Children’s Republican Clinical Hospital
Author for correspondence.
Email: fake@neicon.ru
Safrat А. Gebekova, head of department of planned surgery
367000, Makhachkala
367027, Makhachkala
РоссияB. M. Makhachev
Dagestan State Medical University; N.M. Kuraev Children’s Republican Clinical Hospital
Email: fake@neicon.ru
367000, Makhachkala
367027, Makhachkala
РоссияF. V. Meilanova
Dagestan State Medical University
Email: fake@neicon.ru
367000, Makhachkala
РоссияM. N. Abasov
N.M. Kuraev Children’s Republican Clinical Hospital
Email: fake@neicon.ru
367027, Makhachkala
РоссияA. D. Magomedov
Dagestan State Medical University; N.M. Kuraev Children’s Republican Clinical Hospital
Email: fake@neicon.ru
367000, Makhachkala
367027, Makhachkala
РоссияV. T. Ashurbekov
Dagestan State Medical University
Email: fake@neicon.ru
367000, Makhachkala
РоссияReferences
- Пури П., Гольварт М. Атрезия пищевода. В кн.: Атлас детской оперативной хирургии. М.: МЕДпресс-информ; 2009, 43–62. Puri P., Gol’vart M. Esophageal atresia. In: Atlas of Pediatric Operative Surgery [Atlas detskoj operativnoj khirurgii]. Moscow: MEDpressinform; 2009, 43–62. (in Russian)
- Aminde L.N., Ebenye V.N., Arrey W.T., Takah N.F., Awungafac G. Oesophageal atresia with tracheo-oesophageal fistula in a preterm neonate in Limbe, Cameroon: case report and brief literature review. BMC Res Notes. 2014; 7(7): 692.
- Alberti D., Boroni G., Corasaniti L., Torri F. Esophageal atresia: pre and post-operative management. J. Matern Fetal Neonatal Med. 2011; 24(1): 4–6.
- Garcia A.V., Thirumoorthi A.S., Traina J.M., Schlossberg P., Sheynzon V., Kandel J.J. Image-guided esophageal anastomosis in esophageal atresia. Journal of Pediatric Surgery. 2012; 47(10): 1959–61.
- Pinheiro P.F., Simoes e Silva A.C., Pereira R.M. Current knowledge on esophageal atresia. World J. Gastroenterol. 2012; 18(28): 3662–72.
- Красовская Т.В., Кучеров Ю.И., Батаев Х. М., Толстов К.Н., Мокрушина О.Г. Хирургическая тактика при различных формах атрезии пищевода. Детская хирургия. 2000; 5: 46–50.
- Huh Y.J., Kim H.Y., Lee S.C., Park K.W., Jung S.E. Comparison of outcomes according to the operation for type A esophageal atresia. Ann. Surg. Treat. Res. 2014; 86(2): 83–90.
- Hunter C.J., Petrosyan M., Connelly M.E., Ford H.R., Nguyen N.X. Repair of long-gap esophageal atresia: gastric conduits may improve outcome-a 20-year single center experience. Pediatr. Surg. Int. 2009; 25(12): 1087–91.
- Ito K., Ashizuka S., Kurobe M., Ohashi S., Kuwashima N., Yoshizawa J., Ohki T. Delayed primary reconstruction of esophageal atresia and distal tracheoesophageal fistula in a 471-g infant. Int. J. Surg. Case Rep. 2013; 4(2): 167-9.
- Lee H.Q., Hawley A., Doak J., Nightingale M.G., Hutson J.M. Longgap esophageal atresia: comparison of delayed primary anastomosis and Oesophageal replacement with gastric tube. J. Pediatr. Surg. 2014: 49(12): 1762–6.
- Nasr A., Langer J.C. Mechanical traction techniques for long-gap esophageal atresia: a critical appraisal. Eur. J. Pediatr. Surg. 2013: 23(3): https://doi.org/10.55308/1560-9510-2023-27-1-62-66
- Petrosyan M., Estrada J., Hunter C., Woo R., Stein J., Ford H.R., et al. Esophageal atresia/tracheoesophageal fistula in very low-birth-weight neonates: improved outcomes with staged repair. J. Pediatr. Surg. 2009; 44(12): 2278–81.
- Ашкрафт К.У., Холдер Т.М. Атрезия пищевода и трахеопищеводные аномалии. Т. № 1. В кн.: Детская хирургия. Санкт-Петербург: Хардфорд; 1996. С. 278–99.
- Красовская Т.В., Кучеров Ю.И., Батаев С.-Х. М., Толстов К.Н., Мокрушина О.Г. Осложнения оперативного лечения атрезии пищевода. Детская хирургия. 2001; 3: 44–7.
- Chang E.Y., Chang H.K., Han S.J., Choi S.H., Hwang E.H., Oh J.T. Clinical characteristics and treatment of esophageal atresia: a single institutional experience. J. Korean Surg. Soc. 2012; 83(1): 43–9.