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Oesophageal atresia: paralysis and ventilation in management of the wide gap

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Abstract

The position of the upper pouch in oesophageal atresia is greatly influenced by flexion and extension of the neck and that of the lower pouch by diaphragmatic excursion. Successful repair was achieved in five infants with a wide gap without leak or significant stricture by paralysing, ventilating, and maintaining neck flexion for 6–7 days. Improvement in morbidity and mortality using this method over a 2-year period is shown in comparison with the previous 2 years. The technique was also used successfully in 2 cases of oesophageal atresia without fistula.

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Authors and Affiliations

  1. Royal Hospital for Sick Children, Sciennes Road, EH 91 LF, Edinburgh, Scotland

    G. A. MacKinlay & R. Burtles

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  1. G. A. MacKinlay
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  2. R. Burtles
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MacKinlay, G.A., Burtles, R. Oesophageal atresia: paralysis and ventilation in management of the wide gap. Pediatr Surg Int 2, 10–12 (1987). https://doi.org/10.1007/BF00173597

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  • DOI: https://doi.org/10.1007/BF00173597

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