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Year : 2014  |  Volume : 11  |  Issue : 4  |  Page : 366-370

Reverse gastric tube oesophageal substitution for staged repair of oesophageal atresia and tracheo-oesophageal fistula


Department of Surgery, Paediatric Surgery Unit, College of Medicine, University of Lagos, Idi Araba, Lagos, PMB 12003, Nigeria

Correspondence Address:
Dr. Adesoji Oludotun Ademuyiwa
Department of Surgery, Paediatric Surgery Unit, College of Medicine, University of Lagos, Idi Araba, Lagos, PMB 12003
Nigeria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0189-6725.143180

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The management of oesophageal atresia and tracheo-oesophageal atresia (OATOF) is very challenging. While in developed countries survival of patients with this condition has improved, the outcome in many developing countries has been poor. Primary repair through a thoracotomy (or video-assisted thoracoscopic surgery where available) is the gold standard treatment of OATOF. However, in our setting where patients typically present late and with minimum support resources such as Neonatal Intensive Care Unit and total parenteral nutrition; staged repair may be the only hope of survival of these patients and this communication highlights the essential steps of this mode of treatment.


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