AUTHOR=Jung Eunyoung 

TITLE=Minimally invasive management of combined esophageal atresia with tracheoesophageal fistula and duodenal atresia: a comprehensive case report

JOURNAL=Frontiers in Pediatrics

VOLUME=Volume 11 - 2023

YEAR=2023

URL=https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2023.1252660

DOI=10.3389/fped.2023.1252660

ISSN=2296-2360

ABSTRACT=A newborn presented with a rare combination of esophageal atresia with tracheoesophageal fistula (EA/TEF) and duodenal atresia (DA), which was successfully managed using minimally invasive surgical techniques. The patient was a 1-day-old male for whom passing a feeding tube was infeasible and who had a double bubble sign on radiography. The neonate underwent a thoracoscopic ligation of the tracheoesophageal fistula (TEF) and a laparoscopic duodeno-duodenostomy on the same day, resulting in stabilized vital signs. Ten days after the initial operation, a thoracoscopic esophago-esophagostomy was successfully performed. The patient demonstrated full feeding capability and normal weight gain after the surgeries. The co-occurrence of EA/TEF and DA is a rare and complex anomaly. This case indicates that minimally invasive techniques can effectively manage this condition. 1 GA (gestational age, weeks), BW (birth weight, gram), EE first (Esophago-esophagostomy as a first operation in staged repaired patients) * One case expired without treatment ** No information for mortality cases, only analyzed 10 survival case among 20 combined EA and DA *** One case of staged repair is due to delayed diagnosis of duodenal web **** Mortality is 12% In type C patients, and 57% in pure EA patients.