Hasan KILIÇDAĞ, Eren Kale ÇEKİNMEZ, Deniz HANTA, Seval METİN, Bilgin TÖRER, Bahar ÇEVİRGENOĞLU

Primary Repair of Esophageal Atresia with Distal Tracheoesophageal Fistula in a Low-Birth-Weight Neonate

ofageal atrezi sıklıkla diğer sistem ve kromozal anormalileri ile ilişkili oluşan solunum yolunun kompleks konjenital bir anomalisidir. Bu konjenital anomali bir cerrahi acildir. Erken doğan, düşük doğum ağırlıklı bebeklerde özofageal atrezi/trakeoözofageal füstül tedavisi hala tartışmalıdır. Geleneksel tedavi evreye göre yaklaşıma dayanmaktadır. Özofageal atrezinin primer onarımı ve fistülün kapatılması düşük doğum ağırlıklı bebeklerde başarılabilir ve ilave ciddi bir malformasyon yoksa iyi bir tedavi sağlanabilir. Bu bebeklerin tedavileri 3.düzey pediatrik cerrrahi merkezleri ile sınırlandırılmaması gerekir. Çünkü aynı zamanda bu tedavi 2.basamak sağlık bakım merkezlerinde de başarıyla yapılabilmektedir. Yenidoğan yoğun bakım ve pediatrik cerrahinin yakın uyumu çok önemlidir

Düşük Doğum Ağırlıklı Yenidoğan da Özofageal Atrezi ve Distal Trakeoözofageal Fistülün Primer Onarımı

Esophageal atresia is complex congenital anomaly of respiratory tract occuring often associated with anomalies of other systems and chromosomal abnormalities. This congenital anomaly is a surgical emergency. The management mode of Esophageal atresia/ Tracheoesophageal Fistula in the premature, low birth weight neonate remains controversial. Traditionally, treatment has been based on a staged approach. The primary repair of Esophageal atresia and fistula closure is achievable in Low Birth Weight infants and offer a good treatment in the absence of additional severe malformations. Treatment of these neonates should not be limited to tertiary pediatric surgical centers, contrarily it is also achievable in secondary heath care centers. Near cooperation with neonatal intensivist and the pediatric surgeon is essential for good survival

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