title: Three-stage reconstruction of the airway and alimentary tract in a case of tracheal agenesis.
abstract: In the few surviving cases of tracheal agenesis, infants have not been capable of oral intake because the esophagus was used as a substitute for the trachea. We performed a three-stage reconstruction of the airway and alimentary tract in an infant with tracheal agenesis. This procedure involved a double cervical esophagostomy followed by an anastomosis of the upper mid-esophagus and carinal trachea. Finally, the esophagus was reconstructed by an anastomosis of the cervical esophagus to the lower esophagus. This novel procedure may become a highly effective surgical treatment for some infants in critical condition due to tracheal agenesis.
authors.affiliation: Department of Pediatric Surgery, Osaka University Graduate School of Medicine, Osaka, Japan. usui@pedsurg.med.osaka-u.ac.jp
authors.forename: Noriaki
authors.initials: N
authors.lastname: Usui
authors.forename: Masafumi
authors.initials: M
authors.lastname: Kamiyama
authors.forename: Gakuto
authors.initials: G
authors.lastname: Tani
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Takama
authors.forename: Hideki
authors.initials: H
authors.lastname: Soh
authors.forename: Shuichiro
authors.initials: S
authors.lastname: Uehara
authors.forename: Masahiro
authors.initials: M
authors.lastname: Fukuzawa
mesh_terms: D013505:Digestive System Surgical Procedures / Q000379:methods; D004947:Esophagus / Q000601:surgery*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D019616:Thoracic Surgical Procedures / Q000379:methods; D014132:Trachea / Q000002:abnormalities* / Q000601:surgery*