Congenital Triple Atresia of the Esophagus, Duodenum and Rectum – A Diagnostic Dilemma

Harjai, MM

doi:10.1016/s0377-1237(17)30223-x

Cited by 4 publications

(3 citation statements)

References 4 publications

(4 reference statements)

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“…These were reviewed individually with 23 excluded as they did not report cases of triple atresia. The three remaining articles described a total of seven cases, which are outlined in Table 1 [ 4 , 5 , 6 ].…”

Section: Resultsmentioning

confidence: 99%

Triple Atresia, Triple Threat? An Unusual Constellation of Primary Surgical Abnormalities

et al. 2021

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We present a case series of two patients with tracheo-oesophageal fistula with oesophageal atresia (TOF/OA), duodenal atresia (DA) and ano-rectal malformation (ARM). This constellation of abnormalities, dubbed triple atresia (TA), is a rare combination with few described cases in the literature. Here we describe our management of these cases, as well as the results of our literature review. Both of our cases had staged surgical procedures and were initially managed with thoracotomy for repair of TOF/OA on day two of life. They subsequently underwent laparotomy for management of their abdominal pathology at day five and seven of life. Both have survived the neonatal period and are awaiting definitive surgery for ARM. Literature review yielded seven cases of TA involving a TOF, DA, and ARM. Four patients underwent staged repair, while three patients underwent repair of TOF/OA, DA and colostomy for ARM at the same time. Of these three patients, two died, representing 22% of the overall cohort. Triple atresia remains a rare subset of patients suspected to have VACTERL association, however mortality may be significantly higher. Our data would suggest a staged approach to be optimal for long term survival.

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Section: Resultsmentioning

confidence: 99%

Triple Atresia, Triple Threat? An Unusual Constellation of Primary Surgical Abnormalities

et al. 2021

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“…Furthermore, our patient was a low-birthweight infant (birth weight, 1709 g). The average birth weight of patients with oesophageal and duodenal atresia was reportedly 2100 g [ 8 ], and the mean birth weight in a small number of cases with TA, including anorectal malformation, was 2100 g [ 5 , 10 ]. As our patient was smaller than other TA patients, a careful treatment strategy was required.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, duodenal atresia has been observed with oesophageal atresia and anorectal malformations. Nevertheless, instances of triple atresia (TA), wherein all three anomalies co-occur, are exceptionally rare, accounting for approximately 1–2 % of oesophageal atresia cases [ 8 ], and making its management exceedingly challenging [ 5 , 9 , 10 ]. The absence of exact guidelines for managing such cases further complicates this matter.…”

Section: Introductionmentioning

confidence: 99%

A rare case of oesophageal atresia complicated by duodenal atresia and anorectal malformation successfully treated with multi-stage surgery

Takeuchi,

Inoue,

Muta

et al. 2024

International Journal of Surgery Case Reports

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The DATE Association: A Separate Entity or a Further Extension of the VACTERL Association?

Ceccanti

Midrio

Messina

et al. 2019

Journal of Surgical Research

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Congenital Triple Atresia of the Esophagus, Duodenum and Rectum – A Diagnostic Dilemma

Cited by 4 publications

References 4 publications

Triple Atresia, Triple Threat? An Unusual Constellation of Primary Surgical Abnormalities

Triple Atresia, Triple Threat? An Unusual Constellation of Primary Surgical Abnormalities

A rare case of oesophageal atresia complicated by duodenal atresia and anorectal malformation successfully treated with multi-stage surgery

The DATE Association: A Separate Entity or a Further Extension of the VACTERL Association?

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