A case series study of therapeutic implications of Type IIIb4: A rare variant of esophageal atresia and distal tracheoesophageal fistula

Puri, Archana; Yadav, Partap Singh; Saha, Usha; Singh, Ranju; Chadha, Ritu; Choudhary, S. Roy

doi:10.1016/j.jpedsurg.2012.12.026

Cited by 4 publications

(1 citation statement)

References 18 publications

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“…The CEW is not mentioned in more widely used classifications of Gross and Vogt 1,2 . It is considered as Type IV atresia in Kluth's classification 3–5 . Type IV EA is further classified into subgroups according to the location of web and presence of tracheoesophageal fistula (TEF).…”

Section: Introductionmentioning

confidence: 99%

A rare congenital esophageal anomaly mimicking an isolated esophageal atresia: Kluth Type IV_1a membranous esophageal atresia

Boybeyi

Iyigun

Çağan

et al. 2021

Congenital Anomalies

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Congenital esophageal web is a very rare type of esophageal atresia (EA) and is considered as Type IV atresia in Kluth's classification. Type IV EA is further classified into subgroups according to the location of web and the presence of tracheoesophageal fistula (TEF). Herein, we present a newborn having Type IV1a EA who was initially suspected as isolated EA and has co‐existing malrotation together with the review of the literature. A newborn having congenital esophageal web was admitted with antenatal ultrasonography revealing polyhydramnios, dilated stomach, and duodenum. Abdominal X‐ray revealed a gasless abdomen suggesting isolated EA. The upper gastrointestinal series confirmed complete obstruction at the lower esophagus. Bronchoscopy performed excluding TEF. Laparotomy revealed intestinal malrotation and the absence of another GI webs. Gastrotomy was performed and mucosal web at GEJ was seen by pushing nasogastric catheter. Web excision and Ladd procedure were performed. Congenital esophageal web is an extremely rare type of esophageal anomaly that can be only classified in Kluth classification. A high index of suspicion is required for diagnosis especially in newborns with the gasless abdomen and esophageal obstruction at the level of GEJ. Preoperative bronchoscopy is mandatory to exclude an associating TEF. Surgical exploration via laparotomy is beneficial for exploring additional GIS anomalies.

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Section: Introductionmentioning

confidence: 99%

A rare congenital esophageal anomaly mimicking an isolated esophageal atresia: Kluth Type IV_1a membranous esophageal atresia

Boybeyi

Iyigun

Çağan

et al. 2021

Congenital Anomalies

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Tracheoesophageal Fistula in the Neonates

Agarwala¹,

Subramaniam²

2023

Clinical Anesthesia for the Newborn and the Neonate

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Neonatal Transfusion

Nangia¹

2023

Clinical Anesthesia for the Newborn and the Neonate

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A case series study of therapeutic implications of Type IIIb4: A rare variant of esophageal atresia and distal tracheoesophageal fistula

Cited by 4 publications

References 18 publications

A rare congenital esophageal anomaly mimicking an isolated esophageal atresia: Kluth Type IV_1a membranous esophageal atresia

A rare congenital esophageal anomaly mimicking an isolated esophageal atresia: Kluth Type IV_1a membranous esophageal atresia

Tracheoesophageal Fistula in the Neonates

Neonatal Transfusion

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A case series study of therapeutic implications of Type IIIb4: A rare variant of esophageal atresia and distal tracheoesophageal fistula

Cited by 4 publications

References 18 publications

A rare congenital esophageal anomaly mimicking an isolated esophageal atresia: Kluth Type IV1a membranous esophageal atresia

A rare congenital esophageal anomaly mimicking an isolated esophageal atresia: Kluth Type IV1a membranous esophageal atresia

Tracheoesophageal Fistula in the Neonates

Neonatal Transfusion

Contact Info

Product

Resources

About

A rare congenital esophageal anomaly mimicking an isolated esophageal atresia: Kluth Type IV_1a membranous esophageal atresia

A rare congenital esophageal anomaly mimicking an isolated esophageal atresia: Kluth Type IV_1a membranous esophageal atresia