Kluth type I3 and intra-abdominal variants of esophageal atresia: A case series

Authors

  • Rahul Gupta Department of Paediatric Surgery, SMS Medical College, Jaipur, Rajasthan, India
  • Rozy Paul Department of Physiology, SMS Medical College, Jaipur, Rajasthan, India
  • Manika Boipai Department of Paediatric Surgery SMS Medical College, Jaipur, Rajasthan, India
  • Priya Mathew Department of Paediatric Surgery SMS Medical College, Jaipur, Rajasthan, India
  • Ankit Singh Department of Paediatric Surgery SMS Medical College, Jaipur, Rajasthan, India
  • Bhairu Lal Gurjar Department of Paediatric Surgery, SMS Medical College, Jaipur, Rajasthan, India
  • Arun Kumar Gupta Department of Paediatric Surgery, SMS Medical College, Jaipur, Rajasthan, India

DOI:

https://doi.org/10.47338/jns.v9.530

Keywords:

Esophageal atresia, GE junction web, Intra-abdominal, Kluth type I3, Long upper pouch, Variants

Abstract

Background: Esophageal atresia (EA) encompasses a group of congenital anomalies (one in 2500 live births) comprising an interruption in the continuity of the esophagus combined with or without a persistent communication with the trachea. It is confirmed by passing no. 10 sterile, blunt‑tipped red rubber catheter into the esophagus, which gets failed to pass beyond 10 cm.

Case Series: We describe two male neonates in whom the infant feeding tube could be passed to 18-20 cm in the upper esophageal pouch. A babygram with a blunt-tipped soft red rubber catheter in situ confirmed the esophageal atresia (EA) with the long upper pouch in the first case and EA with obstruction at the gastroesophageal junction in the second one.

Conclusion: The importance of recognizing rare Kluth variants of EA is stressed. A low threshold for performing a red rubber catheter test is stressed.

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Author Biographies

Rahul Gupta, Department of Paediatric Surgery, SMS Medical College, Jaipur, Rajasthan, India

Assistant Professor

Rozy Paul, Department of Physiology, SMS Medical College, Jaipur, Rajasthan, India

Resident

Manika Boipai, Department of Paediatric Surgery SMS Medical College, Jaipur, Rajasthan, India

Resident 

Priya Mathew, Department of Paediatric Surgery SMS Medical College, Jaipur, Rajasthan, India

Resident 

Ankit Singh, Department of Paediatric Surgery SMS Medical College, Jaipur, Rajasthan, India

Resident

Bhairu Lal Gurjar, Department of Paediatric Surgery, SMS Medical College, Jaipur, Rajasthan, India

Resident

Arun Kumar Gupta, Department of Paediatric Surgery, SMS Medical College, Jaipur, Rajasthan, India

Senior Professor

References

Alexander A, Millar AJ. The passage of a nasogastric tube does not always exclude an oesophageal atresia. Afr J Paediatr Surg. 2009;6:47-8.

Gupta R, Sharma P, Goyal RB. Kluth type IIIb6 esophageal atresia: Diagnostic dilemma and pitfalls of using infant feeding tube. J Indian Assoc Pediatr Surg. 2018; 23:96-9.

Kluth D. Altas of esophageal atresia. J Pediatr Surg 1976;11:901-19.

Gupta R, Sharma P, Shukla AK, Mehra S. Kluth type IV3 membranous esophageal atresia at middle one-third of esophagus: An extremely rare entity. J Indian Assoc Pediatr Surg. 2017; 22:254-6.

Pai GK, Pai PK, Kini AU, Rao J. Membranous type of esophageal atresia at the cardiac end of the esophagus: a case report. J Pediatr Surg 1987;22(11);986-7.

Hadley GP, Wiersma R. Membranous atresia of the intra-abdominal esophagus: a case report. S Afr Med J 1990;77:210-1.

Shawyer AC, Flageole H. An unusual case of an intraabdominal esophageal atresia without tracheoesophageal fistula. J Pediatr Surg Case Rep. 2013; 1:220-2.

Saleem M, Iqbal A, Ather U, Haider N, Talat N, Hashim I, et al. 14 Years' experience of esophageal replacement surgeries. Pediatr Surg Int. 2020; 36:835-41.

Published

2020-08-23

How to Cite

1.
Gupta R, Paul R, Boipai M, Mathew P, Singh A, Gurjar BL, Gupta AK. Kluth type I3 and intra-abdominal variants of esophageal atresia: A case series. J Neonatal Surg [Internet]. 2020Aug.23 [cited 2020Sep.26];9:18. Available from: https://www.jneonatalsurg.com/ojs/index.php/jns/article/view/jns-530

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