Enhanced estimation strategy for determining the location of tracheoesophageal fistula in a preterm, low-birth-weight infant with congenital esophageal atresia type C and duodenal atresia: a case report.

Esophageal atresia Low-birth-weight infant Preterm Tracheoesophageal fistula

Journal

JA clinical reports
ISSN: 2363-9024
Titre abrégé: JA Clin Rep
Pays: Germany
ID NLM: 101682121

Informations de publication

Date de publication:
30 Jul 2024
Historique:
received: 28 04 2024
accepted: 19 07 2024
revised: 05 07 2024
medline: 30 7 2024
pubmed: 30 7 2024
entrez: 30 7 2024
Statut: epublish

Résumé

In esophageal atresia type C, identifying the tracheoesophageal fistula (TEF) location is crucial for airway management. However, a thin bronchoscope may not always be available. We report on a low-birth-weight neonate with esophageal atresia type C who required immediate gastrostomy after birth. With no suitable thin bronchoscope available, alternative methods were utilized to estimate the TEF location post-gastrostomy. Submerging the gastrostomy tube tip in water and applying positive pressure ventilation via a tracheal tube allowed for observation of air bubbles emerging from the gastrostomy tube. As the tracheal tube was advanced, the cessation of bubbles indicated that the TEF was sealed by the tracheal tube. The location of the tracheal tube tip, confirmed by chest radiographs, was consistent with the TEF location identified during corrective surgery for TEF. This innovative technique facilitated successful estimation of the TEF location without bronchoscopy, demonstrating its efficacy in resource-limited settings.

Sections du résumé

BACKGROUND BACKGROUND
In esophageal atresia type C, identifying the tracheoesophageal fistula (TEF) location is crucial for airway management. However, a thin bronchoscope may not always be available.
CASE PRESENTATION METHODS
We report on a low-birth-weight neonate with esophageal atresia type C who required immediate gastrostomy after birth. With no suitable thin bronchoscope available, alternative methods were utilized to estimate the TEF location post-gastrostomy. Submerging the gastrostomy tube tip in water and applying positive pressure ventilation via a tracheal tube allowed for observation of air bubbles emerging from the gastrostomy tube. As the tracheal tube was advanced, the cessation of bubbles indicated that the TEF was sealed by the tracheal tube. The location of the tracheal tube tip, confirmed by chest radiographs, was consistent with the TEF location identified during corrective surgery for TEF.
CONCLUSIONS CONCLUSIONS
This innovative technique facilitated successful estimation of the TEF location without bronchoscopy, demonstrating its efficacy in resource-limited settings.

Identifiants

pubmed: 39078532
doi: 10.1186/s40981-024-00730-3
pii: 10.1186/s40981-024-00730-3
doi:

Types de publication

Journal Article

Langues

eng

Pagination

45

Informations de copyright

© 2024. The Author(s).

Références

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Auteurs

Seirin Yamazaki (S)

Department of Anesthesiology, The Jikei University School of Medicine, Tokyo, Japan.

Yusuke Miyazaki (Y)

Department of Anesthesiology, The Jikei University School of Medicine, Tokyo, Japan. y.miyazaki@jikei.ac.jp.

Yoshie Taniguchi (Y)

Department of Anesthesiology, The Jikei University School of Medicine, Tokyo, Japan.

Shoichi Uezono (S)

Department of Anesthesiology, The Jikei University School of Medicine, Tokyo, Japan.

Classifications MeSH