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Atresia esofágica e fístula traqueoesofágica

Última revisão: 23 Jun 2024
Última atualização: 15 Oct 2021

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
Detalhes completos

Outros fatores diagnósticos

  • respiração ofegante
  • tosse
  • sufocamento
  • Associação VACTERL
  • cianose
Detalhes completos

Fatores de risco

  • trissomia 18 e 21
  • história familiar
Detalhes completos

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • ultrassonografia pré-natal
  • RNM pré-natal
  • radiografia torácica e do abdome
Detalhes completos

Investigações a serem consideradas

  • broncoscopia
  • esofagoscopia
  • esofagografia baritada
  • ecocardiografia transtorácica
Detalhes completos

Algoritmo de tratamento

Aguda

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.

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