A simple and safe method to visualize the inferior pouch in esophageal atresia without fistula.
The authors studied the true "dynamic" distance between the esophageal stumps in type I atresia in order to perform the delayed anastomosis at the most favorable time. The position of the inferior pouch was fluoroscopically evaluated in four patients, inserting a Hegar dilator through the gastrostomy. The superior esophageal pouch was delineated by a Replogle tube. No anesthesia was required. In all cases the procedure was simple, safe, fast, and accurate. No complications occurred, and patients could be operated upon at the optimal time.
Divisione Clinicizzata di Chirurgia Pediatrica, Università "G. D'Annunzio", Pescara, Italy.
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Lelli Chiesa
D004106:Dilatation / Q000379:methods; D004933:Esophageal Atresia / Q000000981:diagnostic imaging* / Q000601:surgery; D004947:Esophagus / Q000000981:diagnostic imaging*; D005471:Fluoroscopy; D005774:Gastrostomy; D006801:Humans; D007231:Infant, Newborn; D007441:Intubation, Gastrointestinal