Atresia esofágica e fístula traqueoesofágica
Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- presença de fatores de risco
- história materna de polidrâmnio
- incapacidade de engolir secreções
- impossibilidade de passar uma sonda nasogástrica
Outros fatores diagnósticos
- respiração ofegante
- tosse
- sufocamento
- Associação VACTERL
- cianose
Fatores de risco
- trissomia 18 e 21
- história familiar
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- ultrassonografia pré-natal
- RNM pré-natal
- radiografia torácica e do abdome
Investigações a serem consideradas
- broncoscopia
- esofagoscopia
- esofagografia baritada
- ecocardiografia transtorácica
Algoritmo de tratamento
tipo A
tipo B e D
tipo C
tipo E
Colaboradores
Autores
Alexander J. Bondoc, MD
Assistant Professor
UC Department of Surgery
UC Department of Pediatrics
Cincinnati Children's Hospital
Cincinnati
OH
Declarações
AJB declares that he has no competing interests.
Aaron Garrison, MD
Assistant Professor
UC Department of Surgery
Cincinnati Children's Hospital
Cincinnati
OH
Declarações
AG declares that he has no competing interests.
Daniel von Allmen, MD
Professor-Associate
University of Cincinnati
Department of Surgery
Cincinnati
OH
Declarações
DVA is on the Board of Trustees for Cincinnati Children's Hospital Medical Center and the Medical Advisory Board for Bolder Surgical.
Agradecimentos
Dr Alexander J. Bondoc would like to gratefully acknowledge Dr Steven S. Rothenberg, a previous contributor to this topic.
Declarações
SSR declared that he had no competing interests.
Revisores
Michael D. Klein, MD, FACS, FAAP
Surgeon in Chief
Professor of Surgery
Department of Pediatric Surgery
Children's Hospital of Michigan
Wayne State University School of Medicine
Detroit
MI
Declarações
MDK declares that he has no competing interests.
Timothy D. Kane, MD
Clinical Director
Division Pediatric General and Thoracic Surgery
Children's Hospital of Pittsburgh of UPMC
Pittsburgh
PA
Declarações
TDK declares that he has no competing interests.
Lewis Spitz, MBChB, PhD, FRCS, MD, FRCPCH, FAAP, FCS
Emeritus Nuffield Professor of Paediatric Surgery
Institute of Child Health
University College
London
UK
Declarações
LS declares that he has no competing interests.
Diagnósticos diferenciais
- Fenda laríngea
Mais Diagnósticos diferenciais
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