Evaluation of oesophageal atresia without fistula by three-dimensional computed tomography

Abstract

this new technique is an easy and non-invasive method to assess the long gap in babies with oesophageal atresia without tracheo-oesophageal fistula. The radiological findings are also consistent with surgical anatomical situation during surgery suggesting that this investigation is useful in the pre-operative planning of oesophageal anastomosis or replacement.

Use of Retrograde Esophagoscopy in Delayed Primary Esophageal Anastomosis for Isolated Esophageal Atresia

“…However, it is not always easy to cannulate the distal esophageal pouch [8] . Spiral computed tomography with air infl ation via the gastrostomy tube has been described to evaluate the gap length between the proximal and distal esophageal ends in isolated EA [9] . However, this method does not allow observation of the potential elongation of the distal esophageal pouch by exertion of a gentle pressure on it [10,11] .…”

Radiographic assessment of the gap between oesophageal pouches in infants with oesophageal atresia without fistula

“…Sir: We read with interest the recent article describing the utility of three-dimensional CT for the pre-operative evaluation of infants with oesophageal atresia [1]. The results and the elegant images clearly illustrate the advantages of this method: it is easy, non-invasive, and yields information regarding the gap between the two oesophageal pouches as well as the spatial relationship of adjacent organs.…”