Advances in pediatric surgery

Korean Association of Pediatric Surgeons (대한소아외과학회)
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Double Tracheoesophageal Fistula

이중 기관식도루 1예

  • Huh, Young-Sao (Division of Pediatric Surgery, Department of General Surgery, College of Medicine, Yeungnam University) ;
  • Lee, Hee-Sub (Division of Pediatric Surgery, Department of General Surgery, College of Medicine, Yeungnam University) ;
  • Kim, Geun-Woo (Division of Pediatric Surgery, Department of General Surgery, College of Medicine, Yeungnam University)
  • 허영수 (영남대학교 의과대학 외과학교실, 소아외과) ;
  • 이희섭 (영남대학교 의과대학 외과학교실, 소아외과) ;
  • 김근우 (영남대학교 의과대학 외과학교실, 소아외과)
  • Published : 1996.03.30
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Abstract

Esophageal atresia(EA) with a double tracheoesophageal fistula(TEF) is rare. It accounts for only 0.7% of all cases of EA and TEF. A male newborn weighing 2860g was born by normal vaginal delivery at 41 weeks' gestation to a 27-year-old mother who had a normal pregnancy. But immediately developed recurrent choking and respiratory distress. Feeding tube was inserted and chest X ray showed the feeding tube coiled in the proximal pouch(T-2 level). With a preoperative diagnosis of EA and distal TEF, the thoracotomy was performed on the third day of life. At thoracotomy, TEF was proved to be a double fistula. Both fistulas were divided and an esophageal anastomosis was performed. The postoperative course was uncomplicated until the eighth postoperative day when a minor anastomotic leak. The patient was discharged at 103 days of age.

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