Right phrenic nerve palsy following long-gap esophageal atresia and tracheoesophageal fistula repair

Esophageal atresia (EA) and tracheoesophageal fistula (TEF) are surgically correctable congenital anomalies with reported surgical common complications such as anastomotic leaks, recurrent TEF, and esophageal strictures; however, phrenic nerve injury (PNI) is a very rare but possible complication wh...

Full description

Saved in:
Bibliographic Details
Published in:Journal of Indian Association of Pediatric Surgeons 2023-09, Vol.28 (5), p.433-435
Main Authors: Pokharkar, Ashitosh, Aditya, M, Kandpal, Deepak, Balan, Saroja, Gupta, Vidya, Chowdhary, Sujit
Format: Article
Language:English
Subjects:
Babies
Case Report
Case reports
Congenital diseases
Diaphragm (Anatomy)
diaphragmatic palsy
diaphragmatic plication
esophageal atresia
Esophageal diseases
Esophagus
Fistula, Tracheoesophageal
Genetic disorders
Health care
Oxygen therapy
phrenic nerve injury
tracheoesophageal fistula
Ventilators
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites cdi_FETCH-LOGICAL-c493n-da30e5061e5db8610fbb866a0cd9c2e891a00e819114dcf25d6574a26a483a963
container_end_page 435
container_issue 5
container_start_page 433
container_title Journal of Indian Association of Pediatric Surgeons
container_volume 28
creator Pokharkar, Ashitosh
Aditya, M
Kandpal, Deepak
Balan, Saroja
Gupta, Vidya
Chowdhary, Sujit
description Esophageal atresia (EA) and tracheoesophageal fistula (TEF) are surgically correctable congenital anomalies with reported surgical common complications such as anastomotic leaks, recurrent TEF, and esophageal strictures; however, phrenic nerve injury (PNI) is a very rare but possible complication which we have highlighted in our case report. Here, we report a baby girl operated for long-gap EA and TEF having respiratory distress and failed attempts to wean off oxygen support. Serial chest X-rays showed elevated right hemidiaphragm, whereas ultrasound thorax confirmed our diagnosis of right PNI causing diaphragmatic palsy. Conservative management with the hope of spontaneous recovery failed, so diaphragmatic plication was done at 5 weeks from index surgery. Postplication, the baby was weaned off oxygen and pressure support the very 1st day and had improved respiratory physiology.
doi_str_mv 10.4103/jiaps.jiaps_7_23
format article
fullrecord <record><control><sourceid>gale_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_9edf745dd3934594ab6f87b77258dc17</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A763383833</galeid><doaj_id>oai_doaj_org_article_9edf745dd3934594ab6f87b77258dc17</doaj_id><sourcerecordid>A763383833</sourcerecordid><originalsourceid>FETCH-LOGICAL-c493n-da30e5061e5db8610fbb866a0cd9c2e891a00e819114dcf25d6574a26a483a963</originalsourceid><addsrcrecordid>eNp1Ut-L1DAQLqLgevruY8HnrkmTps2THIc_Dg4E0TchzCbTbva6SU3aW-6_N9uungsrAxmY-b6PzMyXZW8pWXNK2PudhSGu51fVqmTPshWVsilYI-nzbEVkTQtZCvoyexXjjhDGSUVXmflmu-2YD9uAzurcYXjAfIA-Puat73t_sK7Le--6ooMhx-iHLXQIfQ5jwGghB2fyMYDeov-n29o4Tj3kAQew4XX2ok2S-OaUr7Ifnz5-v_lS3H39fHtzfVdoLpkrDDCCFREUK7NpBCXtJiUBRBupS0yDACHYUEkpN7otKyOqmkMpgDcMpGBX2e2iazzs1BDsHsKj8mDVXPChUxBGq3tUEk1b88oYJhmvJIeNaJt6U9dl1RhN66T1YdEaps0ejUaXpuzPRM87zm5V5x8UJZVIiz4qvDspBP9rwjiqnZ-CSwtQZSMSinLGn1AdpG9Z1_rjNvc2anVdC8aaFCyhiguoDtO9IF0HW5vKZ_j1BXwKg3urLxLIQtDBxxiw_TspJepoMLVY68lgifJzoRx8P2KI9_10wKDSSu6dP_yXpzhjanadOrlOza5Ts-vUH9ex384-6lQ</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2860561434</pqid></control><display><type>article</type><title>Right phrenic nerve palsy following long-gap esophageal atresia and tracheoesophageal fistula repair</title><source>Open Access: DOAJ - Directory of Open Access Journals</source><source>Open Access: PubMed Central</source><source>Publicly Available Content Database</source><creator>Pokharkar, Ashitosh ; Aditya, M ; Kandpal, Deepak ; Balan, Saroja ; Gupta, Vidya ; Chowdhary, Sujit</creator><creatorcontrib>Pokharkar, Ashitosh ; Aditya, M ; Kandpal, Deepak ; Balan, Saroja ; Gupta, Vidya ; Chowdhary, Sujit</creatorcontrib><description>Esophageal atresia (EA) and tracheoesophageal fistula (TEF) are surgically correctable congenital anomalies with reported surgical common complications such as anastomotic leaks, recurrent TEF, and esophageal strictures; however, phrenic nerve injury (PNI) is a very rare but possible complication which we have highlighted in our case report. Here, we report a baby girl operated for long-gap EA and TEF having respiratory distress and failed attempts to wean off oxygen support. Serial chest X-rays showed elevated right hemidiaphragm, whereas ultrasound thorax confirmed our diagnosis of right PNI causing diaphragmatic palsy. Conservative management with the hope of spontaneous recovery failed, so diaphragmatic plication was done at 5 weeks from index surgery. Postplication, the baby was weaned off oxygen and pressure support the very 1st day and had improved respiratory physiology.</description><identifier>ISSN: 0971-9261</identifier><identifier>EISSN: 1998-3891</identifier><identifier>DOI: 10.4103/jiaps.jiaps_7_23</identifier><language>eng</language><publisher>Kolkata: Wolters Kluwer India Pvt. Ltd</publisher><subject>Babies ; Case Report ; Case reports ; Congenital diseases ; Diaphragm (Anatomy) ; diaphragmatic palsy ; diaphragmatic plication ; esophageal atresia ; Esophageal diseases ; Esophagus ; Fistula, Tracheoesophageal ; Genetic disorders ; Health care ; Oxygen therapy ; phrenic nerve injury ; tracheoesophageal fistula ; Ventilators</subject><ispartof>Journal of Indian Association of Pediatric Surgeons, 2023-09, Vol.28 (5), p.433-435</ispartof><rights>COPYRIGHT 2023 Medknow Publications and Media Pvt. Ltd.</rights><rights>2023. This article is published under (http://creativecommons.org/licenses/by-nc-sa/3.0/) (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright: © 2023 Journal of Indian Association of Pediatric Surgeons 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c493n-da30e5061e5db8610fbb866a0cd9c2e891a00e819114dcf25d6574a26a483a963</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10569267/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2860561434?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,861,882,2096,25734,27905,27906,36993,44571,53772,53774</link.rule.ids></links><search><creatorcontrib>Pokharkar, Ashitosh</creatorcontrib><creatorcontrib>Aditya, M</creatorcontrib><creatorcontrib>Kandpal, Deepak</creatorcontrib><creatorcontrib>Balan, Saroja</creatorcontrib><creatorcontrib>Gupta, Vidya</creatorcontrib><creatorcontrib>Chowdhary, Sujit</creatorcontrib><title>Right phrenic nerve palsy following long-gap esophageal atresia and tracheoesophageal fistula repair</title><title>Journal of Indian Association of Pediatric Surgeons</title><description>Esophageal atresia (EA) and tracheoesophageal fistula (TEF) are surgically correctable congenital anomalies with reported surgical common complications such as anastomotic leaks, recurrent TEF, and esophageal strictures; however, phrenic nerve injury (PNI) is a very rare but possible complication which we have highlighted in our case report. Here, we report a baby girl operated for long-gap EA and TEF having respiratory distress and failed attempts to wean off oxygen support. Serial chest X-rays showed elevated right hemidiaphragm, whereas ultrasound thorax confirmed our diagnosis of right PNI causing diaphragmatic palsy. Conservative management with the hope of spontaneous recovery failed, so diaphragmatic plication was done at 5 weeks from index surgery. Postplication, the baby was weaned off oxygen and pressure support the very 1st day and had improved respiratory physiology.</description><subject>Babies</subject><subject>Case Report</subject><subject>Case reports</subject><subject>Congenital diseases</subject><subject>Diaphragm (Anatomy)</subject><subject>diaphragmatic palsy</subject><subject>diaphragmatic plication</subject><subject>esophageal atresia</subject><subject>Esophageal diseases</subject><subject>Esophagus</subject><subject>Fistula, Tracheoesophageal</subject><subject>Genetic disorders</subject><subject>Health care</subject><subject>Oxygen therapy</subject><subject>phrenic nerve injury</subject><subject>tracheoesophageal fistula</subject><subject>Ventilators</subject><issn>0971-9261</issn><issn>1998-3891</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNp1Ut-L1DAQLqLgevruY8HnrkmTps2THIc_Dg4E0TchzCbTbva6SU3aW-6_N9uungsrAxmY-b6PzMyXZW8pWXNK2PudhSGu51fVqmTPshWVsilYI-nzbEVkTQtZCvoyexXjjhDGSUVXmflmu-2YD9uAzurcYXjAfIA-Puat73t_sK7Le--6ooMhx-iHLXQIfQ5jwGghB2fyMYDeov-n29o4Tj3kAQew4XX2ok2S-OaUr7Ifnz5-v_lS3H39fHtzfVdoLpkrDDCCFREUK7NpBCXtJiUBRBupS0yDACHYUEkpN7otKyOqmkMpgDcMpGBX2e2iazzs1BDsHsKj8mDVXPChUxBGq3tUEk1b88oYJhmvJIeNaJt6U9dl1RhN66T1YdEaps0ejUaXpuzPRM87zm5V5x8UJZVIiz4qvDspBP9rwjiqnZ-CSwtQZSMSinLGn1AdpG9Z1_rjNvc2anVdC8aaFCyhiguoDtO9IF0HW5vKZ_j1BXwKg3urLxLIQtDBxxiw_TspJepoMLVY68lgifJzoRx8P2KI9_10wKDSSu6dP_yXpzhjanadOrlOza5Ts-vUH9ex384-6lQ</recordid><startdate>20230901</startdate><enddate>20230901</enddate><creator>Pokharkar, Ashitosh</creator><creator>Aditya, M</creator><creator>Kandpal, Deepak</creator><creator>Balan, Saroja</creator><creator>Gupta, Vidya</creator><creator>Chowdhary, Sujit</creator><general>Wolters Kluwer India Pvt. Ltd</general><general>Medknow Publications and Media Pvt. Ltd</general><general>Medknow Publications &amp; Media Pvt. Ltd</general><general>Wolters Kluwer - Medknow</general><general>Wolters Kluwer Medknow Publications</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PADUT</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20230901</creationdate><title>Right phrenic nerve palsy following long-gap esophageal atresia and tracheoesophageal fistula repair</title><author>Pokharkar, Ashitosh ; Aditya, M ; Kandpal, Deepak ; Balan, Saroja ; Gupta, Vidya ; Chowdhary, Sujit</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c493n-da30e5061e5db8610fbb866a0cd9c2e891a00e819114dcf25d6574a26a483a963</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Babies</topic><topic>Case Report</topic><topic>Case reports</topic><topic>Congenital diseases</topic><topic>Diaphragm (Anatomy)</topic><topic>diaphragmatic palsy</topic><topic>diaphragmatic plication</topic><topic>esophageal atresia</topic><topic>Esophageal diseases</topic><topic>Esophagus</topic><topic>Fistula, Tracheoesophageal</topic><topic>Genetic disorders</topic><topic>Health care</topic><topic>Oxygen therapy</topic><topic>phrenic nerve injury</topic><topic>tracheoesophageal fistula</topic><topic>Ventilators</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pokharkar, Ashitosh</creatorcontrib><creatorcontrib>Aditya, M</creatorcontrib><creatorcontrib>Kandpal, Deepak</creatorcontrib><creatorcontrib>Balan, Saroja</creatorcontrib><creatorcontrib>Gupta, Vidya</creatorcontrib><creatorcontrib>Chowdhary, Sujit</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest - Health &amp; Medical Complete保健、医学与药学数据库</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Research Library (ProQuest Database)</collection><collection>Research Library (Corporate)</collection><collection>Research Library China</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Open Access: DOAJ - Directory of Open Access Journals</collection><jtitle>Journal of Indian Association of Pediatric Surgeons</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pokharkar, Ashitosh</au><au>Aditya, M</au><au>Kandpal, Deepak</au><au>Balan, Saroja</au><au>Gupta, Vidya</au><au>Chowdhary, Sujit</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Right phrenic nerve palsy following long-gap esophageal atresia and tracheoesophageal fistula repair</atitle><jtitle>Journal of Indian Association of Pediatric Surgeons</jtitle><date>2023-09-01</date><risdate>2023</risdate><volume>28</volume><issue>5</issue><spage>433</spage><epage>435</epage><pages>433-435</pages><issn>0971-9261</issn><eissn>1998-3891</eissn><abstract>Esophageal atresia (EA) and tracheoesophageal fistula (TEF) are surgically correctable congenital anomalies with reported surgical common complications such as anastomotic leaks, recurrent TEF, and esophageal strictures; however, phrenic nerve injury (PNI) is a very rare but possible complication which we have highlighted in our case report. Here, we report a baby girl operated for long-gap EA and TEF having respiratory distress and failed attempts to wean off oxygen support. Serial chest X-rays showed elevated right hemidiaphragm, whereas ultrasound thorax confirmed our diagnosis of right PNI causing diaphragmatic palsy. Conservative management with the hope of spontaneous recovery failed, so diaphragmatic plication was done at 5 weeks from index surgery. Postplication, the baby was weaned off oxygen and pressure support the very 1st day and had improved respiratory physiology.</abstract><cop>Kolkata</cop><pub>Wolters Kluwer India Pvt. Ltd</pub><doi>10.4103/jiaps.jiaps_7_23</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0971-9261
ispartof Journal of Indian Association of Pediatric Surgeons, 2023-09, Vol.28 (5), p.433-435
issn 0971-9261
1998-3891
language eng
recordid cdi_doaj_primary_oai_doaj_org_article_9edf745dd3934594ab6f87b77258dc17
source Open Access: DOAJ - Directory of Open Access Journals; Open Access: PubMed Central; Publicly Available Content Database
subjects Babies
Case Report
Case reports
Congenital diseases
Diaphragm (Anatomy)
diaphragmatic palsy
diaphragmatic plication
esophageal atresia
Esophageal diseases
Esophagus
Fistula, Tracheoesophageal
Genetic disorders
Health care
Oxygen therapy
phrenic nerve injury
tracheoesophageal fistula
Ventilators
title Right phrenic nerve palsy following long-gap esophageal atresia and tracheoesophageal fistula repair
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-19T08%3A59%3A37IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Right%20phrenic%20nerve%20palsy%20following%20long-gap%20esophageal%20atresia%20and%20tracheoesophageal%20fistula%20repair&rft.jtitle=Journal%20of%20Indian%20Association%20of%20Pediatric%20Surgeons&rft.au=Pokharkar,%20Ashitosh&rft.date=2023-09-01&rft.volume=28&rft.issue=5&rft.spage=433&rft.epage=435&rft.pages=433-435&rft.issn=0971-9261&rft.eissn=1998-3891&rft_id=info:doi/10.4103/jiaps.jiaps_7_23&rft_dat=%3Cgale_doaj_%3EA763383833%3C/gale_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c493n-da30e5061e5db8610fbb866a0cd9c2e891a00e819114dcf25d6574a26a483a963%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2860561434&rft_id=info:pmid/&rft_galeid=A763383833&rfr_iscdi=true