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Video Presentation - 2
Use of endovac under 1000 grams babies with Esophageal Atresia
Marcelo Mauricio Urquizo Lino, Joaquin Camacho
Department of Pediatric Surgery, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
Describe the case of a 900 gram premature baby, with a postnatal diagnosis of type III esophageal atresia. The correction was performed at 5 days of life through conventional surgery and the esophagus was approximated without tension, achieving an end-to-end anastomosis.On the 5th postoperative day, bile and air flow was noted through the pleural drainage, with clinical and radiological worsening. She was re-entered the OR. A videobronchoscopy and esophagram were performed, leading to the diagnosis of esophagopleural fistula and then a pleural toilet, esophageal repair, endovac placement were performed and gastrostomy and new pleural drainage.15 days later, a new contrast study was performed through the endovac, no leaks were observed, the endovac was removed and enteral feeding was started through gastrostomy