Communicating esophageal tubular duplication in a newborn infant

Huang, Ying; Wang, Dajia; Liu, Xin; Wang, Weiling; Zhang, Zhibo

doi:10.1016/j.jpedsurg.2011.04.060

Cited by 8 publications

(4 citation statements)

References 12 publications

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“…Diagnosis of duplication of Oesophagus was made by contrast study of the Oesophagus with water soluble contrast medium and computed tomographic scan. Surgical excision of the duplicated Oesophagus was done and at 1 year follow up examination, the patient was healthy [13].…”

Section: Discussionmentioning

confidence: 99%

Isolated Complete Tubular Duplication of the Oesophagus in a New Born- A Case Report

Airon¹,

Airon

Airon³

et al. 2023

JAMMR

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Duplications of the alimentary tract are rare and ileum is the most commonly affected site, followed by the Oesophagus which accounts for 15% of all digestive tract duplications. The duplicated Oesophagus with mucus, submucous and muscular membranes, is adjacent to the true Oesophagus without a common wall. This condition leads to dysphagia, vomiting, nausea, retrosteranal pain or respiratory distress and stridor. This condition is commonly seen during the newborn period. Tubular duplication is commonly seen in the mid and lower third of the Oesophagus whereas cystic oesophageal duplication is found in the lower third of the Oesophagus. Usuall 70% -90% of the patients are diagnosed before two years of age as they develop symptoms. However few case of oesophageal duplication has been discovered incidently in adult patients. In this study, we report a rare case of isolated complete tubular oesophageal duplication in a 2 day old male newborn, who presented with excessive salivation, respiratory distress and intolerance to feeds.

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Section: Discussionmentioning

confidence: 99%

Isolated Complete Tubular Duplication of the Oesophagus in a New Born- A Case Report

Airon¹,

Airon

Airon³

et al. 2023

JAMMR

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“…[6] Unlike cystic duplications, tubular duplications usually communicate with the normal esophagus. [7][8][9] Tubular esophageal duplication can be associated with other anomalies such ileal duplication cyst and bronchogenic cyst. [10,11] However, in this case the additional esophagus was blind ended and there was no accompanied anomaly.…”

Section: Case Reportmentioning

confidence: 99%

Tubular duplication of the esophagus

Alenazi

Asaad

et al. 2017

CRIM

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“…The gastroscope was passed into the accessory lumen up to its distal communication with the main lumen. Surgery has been the unique treatment so far (1–3), except for a recently reported experience in operative endoscopy (4). An endoscopic treatment was therefore attempted.…”

Section: Figurementioning

confidence: 99%

“…The tubular type is extremely rare (5%–10% of cases) (1). They frequently appear before 2 years of age but can be incidentally discovered in adulthood (2,6). Most frequent symptoms are dysphagia, hemorrhage, chest pain, compression of adjacent organs, infection, perforation, and respiratory involvement.…”

Section: Figurementioning

confidence: 99%

Tubular Esophageal Duplication

Barabino

Nardi

Arrigo

et al. 2014

J. pediatr. gastroenterol. nutr.

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Infected total tubular esophageal duplication was detected in an 11-year-old boy presenting with chest pain, dysphagia, cough, and fever. Esophagram (supplemental Fig. 1 [esophagram: water-soluble contrast medium showed a double esophageal lumen extending approximately 5 cm; arrowheads: double lumen, nonlinear arrow: septum, stars: communication between the 2 lumens, arrow: main lumen], http://links.lww.com/MPG/A161) and computed tomography (supplemental Fig. 2 [chest computed tomogram; minimum intensity projection on the sagittal plane confirmed a double esophageal lumen], http://links.lww.com/MPG/A162) revealed an esophageal pseudolumen. Endoscopy showed 2 esophageal lumens (Fig. 1). The main lumen was larger with normal mucosa, whereas the accessory lumen was narrower and lined with ulcerated tissue. The gastroscope was passed into the accessory lumen up to its distal communication with the main lumen. Surgery has been the unique treatment so far (1-3), except for a recently reported experience in operative endoscopy ( 4). An endoscopic treatment was therefore attempted. Using a standard videogastroscope, a guidewire was firstly placed in the accessory lumen, then a diathermic knife (ITDK, Lorenzatto, Turin, Italy), having an insulated ball in its tip to avoid potential injury beyond the cut zone (5), was inserted and connected to an intelligent electrosurgical workstation (ICC 200 E; ERBE, Marietta, GA). Starting from the upper end of the duplication and using the guidewire as reference for a straight incision, a lengthwise step-by-step mixed cutting and cautery of the intraluminal bridge were then performed (Fig. 2), with the ENDO-CUT mode set at 50/25 W, respectively. No complications were recorded. The child was discharged on day 3 after the procedure and is presently asymptomatic at 18-month follow-up. (supplemental Fig. 3 [endoscopy 3 months after the procedure; unique lumen with 2 longitudinal mucosal folds as scars of the previous incision of the intraluminal bridge], http://links.lww.com/MPG/A163).Esophageal duplications represent about 10% of all of the foregut duplications. The tubular type is extremely rare (5%-10% of cases) (1). They frequently appear before 2 years of age but can be incidentally discovered in adulthood (2,6). Most frequent symptoms are dysphagia, hemorrhage, chest pain, compression of adjacent organs, infection, perforation, and respiratory involvement. This observation confirms the possibility that total tubular esophageal duplication can be successfully managed by endoscopy avoiding surgery.

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Communicating esophageal tubular duplication in a newborn infant

Cited by 8 publications

References 12 publications

Isolated Complete Tubular Duplication of the Oesophagus in a New Born- A Case Report

Isolated Complete Tubular Duplication of the Oesophagus in a New Born- A Case Report

Tubular duplication of the esophagus

Tubular Esophageal Duplication

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