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Esophageal Atresia: Migration of the gastrostomy tube into the bronchus

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Author(s): Hosseini Seyed Mohammad | Banani Seyed | Sabet Babak | Zeraatian Sam | Razmi Tannaz | Banani Seyed

Journal: Journal of Indian Association of Pediatric Surgeons
ISSN 0971-9261

Volume: 13;
Issue: 3;
Start page: 118;
Date: 2008;
Original page

Keywords: Esophageal atresia | gasless abdomen | gastrostomy tube | surgical complication

ABSTRACT
A 2-day-old baby boy, 38 weeks gestation, weight 2000 g was brought due to hypersalivation and imperforate anus with gasless abdomen on plain X-ray. He underwent a gastrostomy tube insertion and colostomy. In contrast study of the stomach, on the 5th postoperative day, the dye spilled into the tracheo bronchial tree and the catheter was seen,entering the right main bronchus. The patient underwent right thoracotomy and the presence of fistula and catheter were confirmed. The fistula and distal esophagus were closed and fixed to the prevertebral fascia because of a long gap. He is under follow-up and recieving home care for a later delayed primary anastomosis.
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