Intentional tracheoesophageal fistula cannulation for gastric decompression in type C esophageal atresia

Paola Papoff; Roberto Cicchetti; Francesco Montecchia; Fabio Midulla; Silvia Ceccanti; Denis Cozzi

doi:10.1111/pan.13351

Intentional tracheoesophageal fistula cannulation for gastric decompression in type C esophageal atresia

Paediatr Anaesth. 2018 Apr;28(4):367-369. doi: 10.1111/pan.13351. Epub 2018 Feb 26.

Authors

Paola Papoff¹, Roberto Cicchetti¹, Francesco Montecchia², Fabio Midulla¹, Silvia Ceccanti³, Denis Cozzi³

Affiliations

¹ Department of Pediatrics, Sapienza University, Rome, Italy.
² Department of Civil Engineering, "Tor Vergata" University, Rome, Italy.
³ Department of Pediatrics, Division of Pediatric Surgery, Sapienza University, Rome, Italy.

PMID: 29484765
DOI: 10.1111/pan.13351

Abstract

We describe a nonsurgical technique for managing gastric distention in infants with type C esophageal atresia, involving intubating the trachea with an umbilical catheter and entering the stomach through the fistula as soon as a flexible bronchoscope found its wide-open orifice. This technique might have a special role when gastric distention precedes other commonly used preventive measures.

Keywords: esophageal atresia; gastric distention; tracheoesophageal fistula; umbilical catheter.

Publication types

Case Reports

MeSH terms

Bronchoscopes
Bronchoscopy
Catheterization / methods*
Decompression / methods*
Esophageal Atresia / complications
Esophageal Atresia / therapy*
Gastric Dilatation / therapy*
Humans
Infant, Newborn
Male
Respiratory Distress Syndrome, Newborn / etiology
Respiratory Distress Syndrome, Newborn / therapy
Tracheoesophageal Fistula / complications
Tracheoesophageal Fistula / therapy*
Treatment Outcome