• Title/Summary/Keyword: Congenital atresia

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A Successful Slide Cricotracheoplasty in Congenital Cricotracheal Stenosis (선천성 기관-윤상연골 협착에서 성공적으로 시행한 활주 기관-윤상연골 성형술)

  • Huh, Jung-Wook;Han, Seok-Joo;Kim, Young-Ho;Kim, Myung-Joon;Lee, Gee-Young;Kim, Jae-Eok;Han, Ai-Ri;Hwang, Eui-Ho
    • Advances in pediatric surgery
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    • v.7 no.1
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    • pp.54-58
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    • 2001
  • Slide tracheoplasty. as a treatment for congenital tracheal stenosis, has been recently reported to have good results and quite a number of advantages as compared with conventional tracheoplasties. The aim of this study is to report a new surgical technique modified from the slide tracheoplasty. "the slide cricotracheoplasty" for the congenital cricotracheal stenosis. A girl was born by Cesarean section and the diagnosis of esophageal atresia (Gross type C) and cricotracheal stenosis (30 % of total length of trachea) was established. Esophageal atresia was successfully corrected at the 8th day of life. At the 31st day of life, corrective surgery for congenital cricotracheal stenosis. the slide cricotracheoplasty. was performed with success. Slide cricotracheoplasty is almost the same procedure as slide tracheoplasty except for two technical features. First the cricoid cartilage was split on its anterior surface. Second the split cricoid cartilage was fixed to pre vertebral fascia to maintain enough space to accommodate the sliding caudal segment of trachea because of the stiffness of the cricoid cartilage. We believe that the sliding cricotracheoplasty is a new surgical technique for congenital cricotracheal stenosis that has similar results and advantages as the sliding tracheoplasty.

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Congenital Esophageal Atresia and Tracheoesophageal Fistula - A Case Report - (선천성 식도폐쇄 및 기관식도루: 1례 보)

  • 권우석
    • Journal of Chest Surgery
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    • v.20 no.3
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    • pp.619-623
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    • 1987
  • We experienced a surgical case of esophageal atresia and tracheoesophageal fistula combined with imperforated anus, tracheal bronchus in a one day baby. A vacuum delivered full term baby, weighing 4.1 Kg showed grunting respiration, repeated regurgitation and distended abdomen after birth. Esophagogram revealed markedly dilated proximal esophagus as blind pouch and also noted displaced type of tracheal bronchus of right upper lobe by incidental bronchogram. Surgical correction with Haight anastomosis was performed successfully on the second day.

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Conenital Brochoesophageal Fistula Without Esophageal Atresia in Adult - Report of One Case - (성인의 기관지-식도루;1례 보고)

  • 양성린
    • Journal of Chest Surgery
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    • v.25 no.12
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    • pp.1432-1435
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    • 1992
  • Congenital bronchoesophageal fistula without esophageal atresia is very rare and often has an insidious clinical course that occaisionally persists into adult life. A 54-year-old female patient presented at our emergency room with a complaint of hemoptysis and dyspnea. Esophagogram revealed a fistula tract between mid-low esophagus and right superior segmental brochus of lower lobe. Fistulectomy was performed without problem. The postoperative course was uneventful.

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A Clinical Analysis of the Intestinal Atresia (선천성 장 폐쇄증의 임상적 분석)

  • Park, Jin-Young
    • Advances in pediatric surgery
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    • v.10 no.2
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    • pp.99-106
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    • 2004
  • Intestinal atresia is a frequent cause of intestinal obstruction in the newborn. We reviewed the clinical presentation, associated anomalies, types of atresias, operative managements, and early postoperative complications in 36 cases of intestinal atresia treated at the Department of Surgery, Kyungpook National University Hospital between January 1994 and February 2003. Location of the lesion was duodenum in 17 patients, jejunum in 11 patients and ileum in 8 patients. The male to female ratio was 1:1.4 in duodenal atresia (DA), 2.7:1 in jejunal atresia (JA) and 7:1 in ileal atresia (IA). The most common type was type III (41.1 %) in DA, and type I (52.6 %) in JA and IA. The most common presenting symptoms was vomiting(88.2 %) in DA, but in jejunoileal atresia, vomiting(89.4 %) and abdominal distension(89.4 %) were the most common sign and symptom. All cases of DA were diagnosed by plain abdominal radiography. There were 6 cases of DA with congenital heart disease, 3 cases of DA with Down syndrome and 3 cases of JA with meconium peritonitis. Segmental resection was performed in 13 cases, duodenoduodenostomy in 11 cases, membrane excision in 7 cases, jejunojejunostomy in 2 cases, gastroduodenostomy in 2 cases and ileocolic anastomosis in 1 case. There were 9 postoperative complications including 3 each of anastomotic leakage, wound infection, and intestinal obstruction 3 cases. The mortality rate for DA was 11.8 %(2/17). Both deaths in DA were attributed to congenital heart disease. The mortality rate for JA was 18% (2/11). Both cases died with sepsis and short bowel syndrome.

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Surgical Correction of Congenital Type IV Atresia Ani with a URethrorectal Fistula in a Dog (개의 선천성 제4형 항문폐쇄증과 요도직장루의 외과 교정술)

  • Kim Jong Min;Lee Jae Yeong;Cho Ki-Rae;Han Tae-Sung;Kim So-Seob;Han Kyu-bo;Kim Gonhyung;Choi Seok Hwa
    • Journal of Veterinary Clinics
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    • v.22 no.4
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    • pp.404-407
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    • 2005
  • A 4-week-old 0.5 kg male Shih Tzu with history of congenital abnormality, abnormality, was referred to Veterinary Teaching Hospital, Chungbuk National University for further evaluation and treatment. During physical examination, the dog revealed mild depression and dyschezia. In plain radiographs, a digital thermometer put in the anus and grasped blind end of the rectum. In contrast radiographs, a urethrorectal fistula was confirmed. Urine specimens were collected with cystocentesis. Bacteria of the urine were detected using an auto microorganism analyzer. According to history taking, physical examination, radiographic signs and urinalysis, it was diagnosed as type IV atresia ani with a urethrorectal fistula. The dog was treated by fistulectomy and anoplasty, and discharged with instruction. Three days after operation, mild dehiscence was appeared. Wound was left to heal by second intention. During the follow-up of eight weeks, wound showed it to be healed and defecation was normal.

Associated Anomaly of Esophageal Atresia (선천성 식도폐쇄 환아의 동반기형)

  • Baek, Jin-O;Jung, Eun-Young;Park, Woo-Hyun;Choi, Soon-Ok
    • Advances in pediatric surgery
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    • v.17 no.1
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    • pp.81-87
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    • 2011
  • This study was aimed to evaluate associated congenital anomalies in the patients with esophageal atresia with tracheoesophageal fistula (EA/TEF). Forty-two neonates with the diagnosis of EA/TEF treated over a 10 year period in a single institution were included in this study. The demography of EA/TEF was analyzed. Major associated anomalies including vertebral, anal, cardiac, renal, limb, neurologic and chromosome were reviewed and categorized. Males were slightly more dominant than females (1.47:1) and all patients had Gross type C EA/TEF. Only 19 % of the patients had solitary EA/TEF without associated anomalies. Cardiac anomalies were the most common associated congenital anomaly in patients with EA/TEF (73.8 %). But 47.6 % were cured spontaneously or did not affect patients' life. Atrial septal defect (ASD) was the most common cardiac anomaly followed by patent ductus arterious (PDA) and ventricular septal defect (VSD). Among gastrointestinal anomalies (23.8 %), anorectal malformations were the most frequent, 70 % Vertebral and limb abnormalities accounted for 11.9 % and urogenital malformations 9.5 % of the anomalies in patients with EA/TEF. VACTERL associated anomalies were 23.8 % and 1.8% had full VACTERL. Almost 12 % of EA/TEF had neurologic anomalies. Patients with EA/TEF require preoperative evaluation including neurologic evaluation to detect anomalies not related to VACTERL. Though associated cardiac anomaly occurred in 73.8 % of patients in our study, only 21.42 % needed surgical correction. The authors suggesrs further studies with large numbers of patients with EA/TEF.

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Congenital Anomalies of Lower Lacrimal Puncta and Nasolacrimal Duct Atresia in a Labrador Retriever Dog

  • Park, Eun-Jin;Kang, Seon-Mi;Park, Sang-Wan;Kwak, Ji-Yoon;Lim, Jae-Gook;Nam, Taek-Jin;Jeong, Seo-Woo;Seo, Kangmoon
    • Journal of Veterinary Clinics
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    • v.33 no.4
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    • pp.228-230
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    • 2016
  • An 1-year-old, spayed, female Labrador Retriever was presented for bilateral epiphora. A complete ophthalmic examination was conducted, including Schirmer tear test, rebound tonometry, fluorescein staining, slit lamp biomicroscopy, and binocular indirect ophthalmoscopy. To determine the patency of the nasolacrimal duct system, a nasolacrimal flush and dacryocystorhinography were also performed. Although the nasolacrimal flush showed patency in the upper and lower lacrimal puncta in both eyes (OU), the lower lacrimal puncta were not found in the original palpebral conjunctiva, but on medial canthal skin with very small opening. Moreover, the nasolacrimal ducts in OU were not patent with flushing. Bilateral nasolacrimal duct atresia was confirmed by dacryocystorhinography. No other abnormalities of the eyes were found on complete ophthalmic examinations. Bilateral congenital anomalies of the lower lacrimal puncta and nasolacrimal duct atresia were diagnosed in this dog.

Congenital Bronchoesophageal Fistula without Esophageal Atresia in Adult -A case report- (성인에서 발견된 선천선 식도 - 기관지루 수술 치험 -1예 보고-)

  • 최명석
    • Journal of Chest Surgery
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    • v.23 no.5
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    • pp.1009-1013
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    • 1990
  • Congenital bronchoesophageal fistula is a rare anomaly that can appear in adult life uncommonly. There was a largest review that include 100 cases in the literature. In our case, he was 48 years old male patient who admitted for chronic coughing and recurrent lobar pneumonia on the right lower lobe since 10 years old. We could confirmed the fistular preoperatively by barium swallow examination and performed division of the fistula. The patient’s postoperative course was unremarkable. According Braimbridge’s classification, it was belonged to the type II.

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Esophagobronchial Fistula in Adult(a case report) (성인 양성 식도기관지루 -수술치험 1례-)

  • 임승균
    • Journal of Chest Surgery
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    • v.23 no.3
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    • pp.542-545
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    • 1990
  • Benign esophagobronchial fistula without esophageal atresia is a relatively rare disease. Fistula between the esophagus and bronchi may be congenital, traumatic, inflammatory or neoplastic. In our country, several case reports have been presented and the causes were either congenital, spontaneous, or inflammatory, such as, tuberculosis and diverticulum of esophagus. A 36 year old man experienced cough secondary to swallowing a Korean soup, frequent URIs and dyspnea. Esophagobronchial fistula was diagnosis by the esophagogram. Treatment was by resection with mid-lobectomy of the Rt. lung. After surgery, the patient`s general condition was stable.

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