Percutaneous radiologic gastrostomy as bridge to definitive surgery in a very preterm infant with combined esophageal and duodenal atresia
Due to the rarity of the association of esophageal and duodenal atresia, no consensus exists regarding the optimal treatment strategy. However, a staged approach is advised in order to reduce morbidities and improve survival. We report a case of a very preterm infant with combined esophageal and duo...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2021-01-01
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| Series: | Journal of Pediatric Surgery Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576620303389 |
| _version_ | 1818844597750595584 |
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| author | Pieralba Catalano Lucia Virardi Alessandra Implatini Silvia Antonia Grimaldi Antonio Nello Enrico Papale Lucia Gabriella Tina Vincenzo Magnano San Lio Sebastiano Cacciaguerra |
| author_facet | Pieralba Catalano Lucia Virardi Alessandra Implatini Silvia Antonia Grimaldi Antonio Nello Enrico Papale Lucia Gabriella Tina Vincenzo Magnano San Lio Sebastiano Cacciaguerra |
| author_sort | Pieralba Catalano |
| collection | DOAJ |
| description | Due to the rarity of the association of esophageal and duodenal atresia, no consensus exists regarding the optimal treatment strategy. However, a staged approach is advised in order to reduce morbidities and improve survival. We report a case of a very preterm infant with combined esophageal and duodenal atresia, treated successfully with a staged approach. Treatment consisted in percutaneous radiologic gastrostomy placement prior to tracheoesophageal fistula ligation and esophageal anastomosis, and in delayed duodenal atresia repair. The use of the radiologic approach for gastrostomy placement proved to be minimally invasive, effective and without complications, even in a very preterm baby. |
| first_indexed | 2024-12-19T05:16:18Z |
| format | Article |
| id | doaj.art-abe4ff40d28945f390cc896927fc9d31 |
| institution | Directory Open Access Journal |
| issn | 2213-5766 |
| language | English |
| last_indexed | 2024-12-19T05:16:18Z |
| publishDate | 2021-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Case Reports |
| spelling | doaj.art-abe4ff40d28945f390cc896927fc9d312022-12-21T20:34:39ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662021-01-0164101704Percutaneous radiologic gastrostomy as bridge to definitive surgery in a very preterm infant with combined esophageal and duodenal atresiaPieralba Catalano0Lucia Virardi1Alessandra Implatini2Silvia Antonia Grimaldi3Antonio Nello Enrico Papale4Lucia Gabriella Tina5Vincenzo Magnano San Lio6Sebastiano Cacciaguerra7Pediatric Surgical Unit, Department of Mother and Child Care, Garibaldi Nesima Hospital, Catania, Italy; Corresponding author. Division of Pediatric Surgery, Garibaldi Nesima Hospital, via Palermo 636, 95122 Catania, Italy.Pediatric Surgical Unit, Department of Mother and Child Care, Garibaldi Nesima Hospital, Catania, ItalyPediatric Surgical Unit, Department of Mother and Child Care, Garibaldi Nesima Hospital, Catania, ItalyPediatric Surgical Unit, Department of Mother and Child Care, Garibaldi Nesima Hospital, Catania, ItalyPediatric Surgical Unit, Department of Mother and Child Care, Garibaldi Nesima Hospital, Catania, ItalyNeonatal Intensive Care Unit, Department of Mother and Child Care, Garibaldi Nesima Hospital, Catania, ItalyDiagnostic and Interventional Radiology Unit, Garibaldi Nesima Hospital, Catania, ItalyPediatric Surgical Unit, Department of Mother and Child Care, Garibaldi Nesima Hospital, Catania, ItalyDue to the rarity of the association of esophageal and duodenal atresia, no consensus exists regarding the optimal treatment strategy. However, a staged approach is advised in order to reduce morbidities and improve survival. We report a case of a very preterm infant with combined esophageal and duodenal atresia, treated successfully with a staged approach. Treatment consisted in percutaneous radiologic gastrostomy placement prior to tracheoesophageal fistula ligation and esophageal anastomosis, and in delayed duodenal atresia repair. The use of the radiologic approach for gastrostomy placement proved to be minimally invasive, effective and without complications, even in a very preterm baby.http://www.sciencedirect.com/science/article/pii/S2213576620303389Combined esophageal and duodenal atresiaPercutaneous radiologic gastrostomySurgical managementPremature infants |
| spellingShingle | Pieralba Catalano Lucia Virardi Alessandra Implatini Silvia Antonia Grimaldi Antonio Nello Enrico Papale Lucia Gabriella Tina Vincenzo Magnano San Lio Sebastiano Cacciaguerra Percutaneous radiologic gastrostomy as bridge to definitive surgery in a very preterm infant with combined esophageal and duodenal atresia Journal of Pediatric Surgery Case Reports Combined esophageal and duodenal atresia Percutaneous radiologic gastrostomy Surgical management Premature infants |
| title | Percutaneous radiologic gastrostomy as bridge to definitive surgery in a very preterm infant with combined esophageal and duodenal atresia |
| title_full | Percutaneous radiologic gastrostomy as bridge to definitive surgery in a very preterm infant with combined esophageal and duodenal atresia |
| title_fullStr | Percutaneous radiologic gastrostomy as bridge to definitive surgery in a very preterm infant with combined esophageal and duodenal atresia |
| title_full_unstemmed | Percutaneous radiologic gastrostomy as bridge to definitive surgery in a very preterm infant with combined esophageal and duodenal atresia |
| title_short | Percutaneous radiologic gastrostomy as bridge to definitive surgery in a very preterm infant with combined esophageal and duodenal atresia |
| title_sort | percutaneous radiologic gastrostomy as bridge to definitive surgery in a very preterm infant with combined esophageal and duodenal atresia |
| topic | Combined esophageal and duodenal atresia Percutaneous radiologic gastrostomy Surgical management Premature infants |
| url | http://www.sciencedirect.com/science/article/pii/S2213576620303389 |
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