| Item type |
文献 / Documents(1) |
| 公開日 |
2022-05-17 |
| アクセス権 |
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|
アクセス権 |
open access |
| 資源タイプ |
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資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 出版社版DOI |
|
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|
関連識別子 |
https://doi.org/10.2152/jmi.69.141 |
|
|
関連名称 |
10.2152/jmi.69.141 |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| タイトル |
|
|
タイトル |
A case of Gross E esophageal atresia discovered following a unique clinical course |
| タイトル別表記 |
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その他のタイトル |
Gross E esophageal atresia with unique course |
| 著者 |
ヨコタ, ノリコ
石橋, 広樹
須賀, 健一
森, 大樹
北村, 明子
中川, 竜二
島田, 光生
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| 抄録 |
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内容記述 |
The patient was a 15 months-old boy who had been diagnosed CHARGE syndrome, which is a multiple congenital anomaly syndrome caused by mutations in the CHD7 gene. Mechanical ventilation management was initiated 2 hours after birth for dysphagia and respiratory failure, and tracheotomy was performed 3 months after birth for dysphagia and failed extubation. He was repeatedly hospitalized due to pneuomoniae. Approximately 1 year after birth, the boy had two consecutive episodes of sudden ventilatory insufficiency while replacing the tracheotomy cannula. A bronchoscopic examination under general anesthesia revealed a tracheoesophageal fistula directly below the tracheostomy. The patient was diagnosed with Gross E esophageal atresia, and we speculated that the cannula migrated to the esophagus via the fistula during tracheostomy cannula replacement. Gross E esophageal atresia is a rare disease. Its diagnosis is often delayed, and it is discovered by recurrent pneumonia in many cases. A tracheoesophageal fistula may also be found in children with deformities of the respiratory system. Furthermore, tracheoesophageal fistulae are often found in the neck. Therefore, when sudden ventilatory insufficiency occurs in a child with a tracheostomy after replacing the tracheostomy cannula, caution must be exercised since the cannula may have migrated to the esophagus via a fistula. |
| キーワード |
|
|
主題 |
Gross E esophageal atresia |
| キーワード |
|
|
主題 |
congenital H-type tracheoesophageal fistula |
| キーワード |
|
|
主題 |
sudden ventilatory insufficiency during cannula replacement |
| キーワード |
|
|
主題 |
CHARGE syndrome |
| 書誌情報 |
en : The Journal of Medical Investigation
巻 69,
号 1-2,
p. 141-144,
発行日 2022-02
|
| 収録物ID |
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|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
13496867 |
| 収録物ID |
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|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
13431420 |
| 収録物ID |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA11166929 |
| 出版者 |
|
|
出版者 |
Tokushima University Faculty of Medicine |
| EID |
|
|
識別子 |
386714 |
| 言語 |
|
|
言語 |
eng |
jmi_69_1-2_141.pdf (554 KB)
