Oesophageal atresia and tracheo-oesophageal fistula

135

ABSTRACTS

tumor proved to be semimalignant but dangerous because of its location. No similar case has been found in the literature.-Andrew PimPr Therapeutic

Use of Helium-Oxygen

Continuous

Positive Airway

Weaning

From

Cardiovascular Y. lmai

and

Mechanical Surgery

S. Konno.

Mixture

Pressure

Ventilation

in Infants.

J Thorac

in

for Early After

K. Tofsuno,

Cardiovasc

Surg

(July), 1976.

72:119-122

the Pa**

infants

was usually

over nitrogen-oxygen M. Holder Measurement dilution

elevated CPAP

of Cardiac

in Infants

heart Operations.

and

20-30

Output

Hg

by

Thermo-

After

Open-

E. A. Harris,

S. Yor-

Children

M. Mofhur,

mm

mixture.-Thomas

row and 6. G. Barrott-Boyes. J Thorac Cardiovosc Surg 72:22 l-225 (August), 1976. Twenty-six

infants

had cardiac

output

Sarcoma Associated with

Dacron Prosthetic Ma-

Gal-Case

Review

Report and

of the Litera-

7. X. O’Connell, H. J. Fee and

J Thoroc Cordiovasc Surg 72:94-96

A.

Go/ding.

(July), 1976.

The second incidence of fibrosarcoma associated with Dacron vascular graft is presented. Previously reported animal experience indicated that grafts with pore size greater than 0.4 g are not tumorgenic.-Thomas M. Holder

ALIMENTARY Oesophageal

Atresia

Myotomy

and

7. Verebt3y, and 105-107, 1966. Livaditis’

to Decrease

in Esophageal E. Kun.

method

the

Tension

Atresia.

of

E. Konfor,

Gyermekgy6gybszot

27:

was used in two newborn

babies with esophageal atresia to bridge the large intersegmental gaps. Both operations were successful. Barium meal showed normal passage through the esophagus. In one child recanalization of the tracheoesophageal fistula developed and a second thoracotomy had to be performed at I mo of age. It was found that the muscular defect due to a shift of the circular muscle-ring had filled up with soft connective tissues.--. Andrew Pint&

deter-

minations by thermodilution following repair of cardiac defects. Cold injection was made into the right atrium. When sensing was in the pulmonary artery the results were more consistent and correlated better with dye dilution techniques than when sensing was in the left atrium. The method appears to be reliable for infants and children.-Thomas M. Holder

ture.

Circular

Anastomosis

receiving ventilatory support following a cardiac operation were weaned from support with helium-oxygen in continuous positive airway pressure. With this technique Eleven

symptoms and signs, and radiological diagnosis of this condition are also mentioned. The results obtained in 86 patients seen over a 12 yr period are tabulated and analyzed according to the type of anomaly present. The overall survival rate seen in this group of patients was 65”,,.- M. R. Q. Davies

TRACT Tracheo-Oesopha-

geal Fistula. S. Cywes, M. R. Q. Davies and 1. H.

Louw. SA Medical Journal 50:483 (March) 1976. In this review article, the operative management of esophageal atresia is discussed. The operative technique used and the approach to management depends on the anatomical abnormality present. Classification of the patients into three different risk groups is stressed. The embryology, etiology, clinical features,

Congenital

yama, M.

Takahoshi,

Y. Ifou,

A. Jujo,

and

Sot Pediat Surg 12549-561 Fifteen

J. yoko-

Stenosis of the Esophagus,

S. Nombo,

cases

A. Hayashi,

H.

K. Kofsumato.

Ikowa, J Jap

(August), 1976.

of congenital

stenosis

of

the

esophagus were reported. Age at onset of symptoms (vomiting) ranged from 2 wk to 3 yr. On the esophagogram. stenosis was found in the lower esophagus in all 15 cases. Diminished pressure fluctuation and aperistalsis in the stenotic portion were characteristic findings in manometric studies. Measurement of intraluminal UH showed normal values and signs of reflux esophagitis were not found by endoscopic examination. Operative methods carried out were: resection of stenotic portion and end-toend anastomosis in 8, Clarke & Adams’s procedure in 2. Petrovsky’s procedure in 4. and Heller’s procedure in one. fibrous stricture was found in 9 and trachea-bronchial remnant was found in 6 cases. Postoperative complications were encountered in 4 cases; these were anemia, hematemesis. pyothorax, and perforation of the esophagus due to Bougie-dilatation. Operative results were excellent in 10. fair in 2, good in 2. and poor in one. The author emphasizes that congenital stenosis of the esophagus is an organic lesion caused by abnormal development of esophageal wall in fetal life, and surgical treatment should be instituted without expecting much from Bougie-dilata-