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Malformações congénitas do esófago: FOT isolados by Nouha Boukhrissa

Malformações congénitas do esófago: FOT isolados

by Nouha Boukhrissa , Nahla Kechiche , Lassaad Sahnoun
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Book cover type: Paperback
  • ISBN13: 9786208920715
  • Binding: Paperback
  • Subject: N/A
  • Publisher: Edicoes Nosso Conhecimento
  • Publisher Imprint: Edicoes Nosso Conhecimento
  • Publication Date:
  • Pages: 52
  • Original Price: GBP 38.19
  • Language: Portuguese
  • Edition: N/A
  • Item Weight: 82 grams
  • BISAC Subject(s): General

Introdu��oA f�stula esotraqueal isolada (FOT) sem atresia do es�fago, conhecida como f�stula, � uma malforma��o cong�nita rara. A sua etiopatog�nese � obscura, o seu diagn�stico � dif�cil e deve ser feito precocemente para melhorar o progn�stico.M�todos Relatamos 13 casos de f�stula esof�gica cong�nita isolada operados no Departamento de Cirurgia Pedi�trica do Hospital Fattouma Bourguiba, Monastir, durante um per�odo de 20 anos.Resultados O quadro cl�nico consistia em crises de tosse e cianose, especialmente na altura da alimenta��o. A radiografia toracoabdominal mostrou pneumopatia por inala��o, atelectasia e aerocolia. O TOGD mostrou FOT em 6 casos. A traqueoscopia foi efectuada em 8 casos imediatamente antes da cirurgia. O tratamento cir�rgico consistiu no encerramento do FOT com a interposi��o de uma camada de ar, geralmente pleural. O controlo p�s-operat�rio foi simples em 10 doentes, com um seguimento m�dio de 5 anos. Tr�s doentes faleceram no p�s-operat�rio por choque s�tico refrat�rio �s medidas de reanima��o.Conclus�esQuanto mais precoce for o diagn�stico, mais r�pido ser� o tratamento e menor ser� a morbilidade.

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