Surgical management of newborns with combined tracheoesophageal fistula, esophageal atresia, and duodenal obstruction

Abstract

[8] On the basis of long-term clinical work, this study summarized the experiences of diagnosis and treatment of complicated multiple digestive tract obstruction in four infants with combined TEF/EA and severe duodenal obstruction caused by DA or AP, who were treated at the Department of Pediatric Surgery, the Northwest Women's and Children's Hospital from January 2015 to January 2018. Patient 2: esophageal radiography revealed esophageal atresia and a distended stomach with no distal bowel gas (arrows; C), suggesting duodenal obstruction and no vertebral anomalies; and a repeat upper gastrointestinal imaging confirmed esophageal stoma after “diamond-shape” anastomosis during follow-up (G). Patient 3: A preoperative X-ray film demonstrating showing combined coiled-up of NGT in the upper esophageal pouch and large gastric bubble with no distal bowel gas (arrows; D); and a repeat upper gastrointestinal imaging confirmed esophageal stoma after “diamond-shape” anastomosis during follow-up (H). Vertebral anomalies and a large gastric bubble with no distal bowel gas were observed, suggesting tracheoesophageal fistula/esophageal atresia complicated with duodenal obstruction (E); and a repeat upper gastrointestinal imaging confirmed the presence of esophageal and duodenal anastomosis patency well during follow-up (I).