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Year : 2020  |  Volume : 6  |  Issue : 1  |  Page : 96-97

Long upper pouch overlapping with lower pouch associated with esophageal atresia and trachea-Esophageal fistula

1 Additional Professor, IGIMS, India
2 Assistant Professor, IGIMS, India
3 Professor & Head, IGIMS, India
4 Associate Professor, Dept. of Paediatric Surgery, IGIMS, India

Correspondence Address:
Zaheer hasan
Additional Professor Dept. of Paediatric Surgery, IGIMS, Patna
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Source of Support: None, Conflict of Interest: None

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Esophageal atresia (EA) with tracheoesophageal fistula (TEF) is one of the common neonatal surgical emergencies presenting with excessive salivation, and inability to swallow or pass a firm cathether into the stomach. The present report describes an unusual case of EA-TEF with a long upper esophageal pouch that overlaps the lower esophageal pouch reaching just above the dome of diaphragm. The lower pouch fistula was present at the usual site (Kluth type IIIb6). The redundant upper pouch was excised and TEF was ligated and divided, and an end-to-end esophageal anastomosis was performed. In the post-operative period baby developed sepsis and could not be revived. However, the case was described due to rarity of presentation.

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