2019 Volume 55 Issue 5 Pages 977-982
A 1-day-old female infant was admitted to our hospital because of esophageal atresia. She was born weighing 3,178 g at the gestational age of 41 weeks 5 days. She was diagnosed as having type-C esophageal atresia preoperatively. On the same day, her tracheoesophageal fistula (TEF) was closed and her esophagus reconstructed. No anastomotic leakage was observed in the esophagogram taken at 11 days of age; thus, oral feeding was started. However, respiratory infection was noted. On day 18, her trachea was visualized by a videofluoroscopic examination while swallowing and TEF was confirmed. Oral feeding was discontinued, and prophylactic antibiotics were started. Bronchoscopy was performed at 33 and 39 days of age. The upper TEF was separately observed from the initial TEF treatment section, and type-D esophageal atresia was diagnosed. Upper TEF dissection was performed at 65 days of age. A guide wire was placed in the fistula. In the last follow-up, that is, 6 months postoperatively, no recurrence was observed. Comprehensive preoperative examination and preparation should be performed prior to curative surgery for type-D esophageal atresia discovered after the initial surgery.
