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).
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1 Department of Nursing, The Affiliated Northwest Women's and Children's Hospital, Xi’an Jiaotong University Health Science Center, Xi’an, Shaanxi 710061, China
2 Xinjiang Institute of Pediatrics, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, Xinjiang 830000, China
3 Department of Pediatric Surgery, the Northwest Women's and Children's Hospital, Xi’an, Shaanxi 710061, China
4 Third Department of General Surgery, School of Medicine, Shihezi University, Shihezi, Xinjiang 832002, China
5 Department of Basic Surgery, Beijing Children's Hospital, Capital Medical University, Beijing 100045, China