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J Laparoendosc Adv Surg Tech A. 2013 Jul;23(7):649-50. doi: 10.1089/lap.2013.0189. Epub 2013 Jun 11.

Laparoscopic management of pyloric atresia in a neonate with epidermolysis bullosa.

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1
Surgical Department, National Hospital of Pediatrics, Hanoi, Vietnam. drtranson@yahoo.com

Abstract

Pyloric atresia (PA) is rare and may be associated with epidermolysis bullosa (EB). This is the first case report of a successful laparoscopic treatment of PA in a full-term 7-day-old neonate with EB. The laparoscopic approach consists of a longitudinal pyloromyotomy and excision of the thick obstructing pyloric membrane with a Heineke-Mickulicz pyloroplasty closure. Oral feeding was resumed at postoperative Day 7, and the child was discharged 5 days later with satisfactory follow-up at 8 months. Recommendations are provided for the management of the neonate with PA/EB.

PMID:
23755856
DOI:
10.1089/lap.2013.0189
[Indexed for MEDLINE]
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