Three-stage reconstruction of the airway and alimentary tract in a case of tracheal agenesis.
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.
Usui
Noriaki
N
Department of Pediatric Surgery, Osaka University Graduate School of Medicine, Osaka, Japan. usui@pedsurg.med.osaka-u.ac.jp
Kamiyama
Masafumi
M
Tani
Gakuto
G
Takama
Yuichi
Y
Soh
Hideki
H
Uehara
Shuichiro
S
Fukuzawa
Masahiro
M
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*