Advances in pediatric surgery

Korean Association of Pediatric Surgeons (대한소아외과학회)
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Esophageal Atresia with Distal Tracheoesophageal Fistula in Both Members of Monozygotic Twins

일란성 쌍둥이 모두에서 발생한 식도무공증

  • Kim, Seong-Chul (Division of Pediatric Surgery, University of Ulsan College of Medicine and Asan Medical Center) ;
  • Nam, So-Hyun ;
  • Kim, Dae-Yeon (Division of Pediatric Surgery, University of Ulsan College of Medicine and Asan Medical Center) ;
  • Kim, In-Koo (Division of Pediatric Surgery, University of Ulsan College of Medicine and Asan Medical Center)
  • 김성철 (울산대학교 의과대학 서울아산병원 소아청소년병원 소아외과) ;
  • 남소현 (대림성모병원 외과) ;
  • 김대연 (울산대학교 의과대학 서울아산병원 소아청소년병원 소아외과) ;
  • 김인구 (울산대학교 의과대학 서울아산병원 소아청소년병원 소아외과)
  • Received : 2009.06.15
  • Accepted : 2009.12.30
  • Published : 2009.12.31
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Abstract

Although the incidence of esophageal atresia (EA) is higher in twins than in singletons by two to three times, EA usually affects only one member of twins. We report one pair of twins concordant for EA. A 31-year-old healthy woman bore monozygotic female twins at 36 weeks of gestation. They weighed 2,216 and 2,480 g, respectively. They had EA with distal tracheoesophageal fistula and underwent primary esophageal anastomosis on the birth day and the $2^{nd}$ day of life, respectively. Twin A also had suspicious antral obstruction and pyloroplasty was done simultaneously with esophageal repair. She needed antral web excision for continued gastric stasis one month after $1^{st}$ operation and three balloon dilatations of the esophagus. Twin B recovered uneventfully.

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