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Intentional tracheoesophageal fistula cannulation for gastric decompression in type C esophageal atresia
Author(s) -
Papoff Paola,
Cicchetti Roberto,
Montecchia Francesco,
Midulla Fabio,
Ceccanti Silvia,
Cozzi Denis
Publication year - 2018
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/pan.13351
Subject(s) - medicine , atresia , tracheoesophageal fistula , decompression , stomach , catheter , fistula , surgery , curvatures of the stomach , body orifice , anesthesia , anatomy
Summary We describe a nonsurgical technique for managing gastric distention in infants with type C esophageal atresia, involving intubating the trachea with an umbilical catheter and entering the stomach through the fistula as soon as a flexible bronchoscope found its wide‐open orifice. This technique might have a special role when gastric distention precedes other commonly used preventive measures.