Author(s)

Enrique Magana*, Shaonian Zhu

Affiliation(s)

Southern University College, PTD64888, Xinshan City, Johor State, Malaysia.

Corresponding Author

Enrique Magana

ABSTRACT

To explore the type Ⅲ congenital esophageal atresia (c ongenital esophageal atresia, CEA) Combined tracheomalacia (tra- cheomalacia, TM) Early diagnosis method and clinical outcome, providing clinical diagnosis and treatment experience for CEA combined with TM. This article collects from November 2019 to 2020 Year In September, Guangzhou Women and Children’s Medical Center was admitted to the Neonatal Surgery Intensive Care Unit and underwent electronic bronchial surgery before operation. Clinical data of patients with type Ⅲ CEA examined by endoscopy, 15 patients who underwent electronic bronchoscopy before and after esophageal repair Airway assessment results and clinical outcomes were retrospectively analyzed. 15 male 12 Example, female 3 example; Gestational age at birth (34 ~ 40.6) weeks, the median gestational age at birth was 38.3 week; 7 Case (46.7%) Esophageal stricture present, 5 example(33.3 %) Imaging studies suggest gastroesophageal reflex stream; 14 cases (93.3%) Combined TM (2 cases were mild, 10 For moderate, 2 For example, severe), 8 Postoperative 1 monthly reassessment tm Comparing More obvious before, 3 cases were moderate TM, 5 cases were severe TM. 4 cases (26.67%) Postoperative asymptomatic; 11 example(73.33%) manifested as phlegm, choking Cough, cyanosis, shortness of breath, milk refusal, suffocation, etc. 2 cases of suffocation after eating were successfully rescued. During the follow-up period, there was no recurrence of esophagotracheal fistula. No anastomotic leak and hiatal hernia occurred. TM is a common complication of CEA and is Occurrence of respiratory tract-related symptoms after CEA surgery An important reason for the high rate, electronic bronchoscopy can diagnose and evaluate TM early to guide clinical treatment. TM can cause life-threatening In case of incidents, long-term respiratory follow-up is recommended for timely treatment.

KEYWORDS

Esophageal atresia; Esophageal atresia; Esophageal Atresia; Tracheomalacia; Treatment outcome.

CITE THIS PAPER

Enrique Magana, Shaonian Zhu. Early diagnosis and clinical analysis of type Ⅲ CONGENITAL esophageal atresia complicated with tracheomalacia. World Journal of Clinical Sciences. 2023, 1(1): 7-12.

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