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Video Presentation - 2
Use of endovac under 1000 grams babies with Esophageal Atresia
MM Urquizo Lino, J 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