Open AccessPercutaneous gastrostomy as an urgent method of management of critically ill neonate with esophageal and duodenal atresia
Author(s) -
Mila Kolar,
Zoran Drstić,
Marija Lukač,
Vladimir Stankovic,
Mirjana Kostić
Publication year - 2004
Publication title -
srpski arhiv za celokupno lekarstvo
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.135
H-Index - 17
eISSN - 2406-0895
pISSN - 0370-8179
DOI - 10.2298/sarh04s1115k
Subject(s) - medicine , atresia , gastrostomy , tracheoesophageal fistula , duodenal atresia , percutaneous , surgery , esophagus , stomach , general surgery , gastroenterology
The objective of this article was to present possibilities of percutaneous gastrostomy for management of a newborn with esophageal and duodenal atresia. Percutaneous gastrostomy is the most commonly employed technique for providing long-term enteral nutrition. In adults, it is also method of choice for decompression of digestive tract in palliative treatment of malignant and non malignant diseases. This is a case report of two-day old newborn with esophageal atresia with distal tracheoesophageal fistula and duodenal atresia. Percutaneous decompressive gastrostomy was used as a temporary bridge to definite surgery for management of respiratory dysfunction of this newborn, caused by dilated stomach. Surgical management (esophageal and duodenal reconstructions) as well as intra- and postoperative period were without any complications. Three months after surgical management, the infant is well and without any difficulties.