Abstract
Anastomotic leak after tracheoesophageal fistula repair is a well-known complication
and can represent a challenging clinical scenario. We present the case of an infant
girl with VACTERL syndrome who underwent repair of a type C esophageal atresia and
tracheoesophageal fistula repair, which was complicated by an anastomotic leak. Glycopyrrolate
(Robinul), an anticholinergic agent, was successfully used to decrease copious salivary
secretion and promote spontaneous closure of the leak. This report represents the
first description in the medical literature of the use of glycopyrrolate in the treatment
of an esophageal anastomotic leak. Glycopyrrolate may be a useful adjunct in the management
of anastomotic leak after tracheoesophageal repair.
Key words
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References
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Article info
Publication history
Accepted:
November 19,
2010
Received in revised form:
November 15,
2010
Received:
September 15,
2010
Identification
Copyright
© 2011 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
