Is esophageal atresia a natural way of fasting

سال انتشار: 1392
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 381

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شناسه ملی سند علمی:

JR_JNFH-1-1_008

تاریخ نمایه سازی: 20 آبان 1397

چکیده مقاله:

One day in spring, April 2010 a middle aged woman with her infant rushed into the emergency room at a local hospital. The patient was an infant, only 8 days old with a weight of 2300 grams. He had a weight loss of 400 grams since his birth. He had frequent vomits with no toleration to breast feeding. Because of severe dehydration and his poor physical condition, he was hospitalized in the newborn intensive care unit. The infant was firstly diagnosed with hypertrophic pyloric stenosis, but then his ultrasound did not confirm it. Four days later, the patient was referred to the surgery department with the diagnosis of esophageal atresia (EA). This was a true story from my colleague working in the pediatric department. The patient was diagnosed with EA, type C, the most common form of EA, which the upper esophagus ends in a blind pouch and there is a tracheoesophageal fistula (TEF) that is connected to the distal esophagus. This type of TEF prevents the patient from swallowing anything, and management of dehydrationand hypoglycemia is necessary for survival.

نویسندگان

Ahmad Shah Farhat

Neonatal Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

Mohammad Amin Kerachian

Department of Medical Genetics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

Mohammad Amin Kerachian

Rheumatic Diseases Research Center (RDRC), Faculty of Medicine, Mashhad University of Medical Sciences,Mashhad, Iran

Mohammad Amin Kerachian

Medical Genetic Research Center (MGRC), Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran