Gastrointestinal Disease

  • Robert S. Holzman
  • Thomas J. Mancuso
  • Navil F. Sethna
  • James A. DiNardo


A 6-year-old, 14-kg girl, status/post repair of a tracheoesophageal fistula in infancy, is scheduled for a colon esophagus. In addition to her TE fistula, she had an imperforate anus and a tetralogy of Fallot, all repaired in infancy. She has intermittent wheezing and currently refluxes at night. She takes Protonix® daily and uses her Albuterol inhaler on a weekly basis. Vital signs are BP = 100/70 mmHg, P = 95 bpm, R = 16/min, T = 37°C. Her hemoglobin is 10.5 g/dL.


Imperforate Anus Duodenal Obstruction Duodenal Atresia Double Bubble Fluid Deficit 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Ng A, Smith G (2001) Gastroesophageal reflux and aspiration of gastric contents in anesthetic practice. Anesth Analg 93(2):494–513PubMedGoogle Scholar
  2. 2.
    Shinebourne EA, Babu-Narayan SV, Carvalho JS (2006) Tetralogy of Fallot: from fetus to adult. Heart 92(9):1353–1359PubMedCrossRefGoogle Scholar
  3. 3.
    Koka BV, Jeon IS, Andre JM, MacKay I, Smith RM (1977) Postintubation croup in children. Anesth Analg 56(4):501–505PubMedCrossRefGoogle Scholar
  4. 4.
    Greenbaum L (2006) Fluids and electrolytes. In: MK KRM, Jenson HB, Behrman RE (eds) Nelson essentials of pediatrics, 5th edn. Elsevier/Saunders, Philadelphia, pp 160–165Google Scholar
  5. 5.
    Greenbaum L (2006) Disorders of sodium. In: MK KRM, Jenson HB, Behrman RE (eds) Nelson essentials of pediatrics, 5th edn. Elsevier Saunders, PhiladelphiaGoogle Scholar
  6. 6.
    Denes FT, Arap MA, Giron AM, Silva FA, Arap S (2004) Comprehensive surgical treatment of prune belly syndrome: 17 years’ experience with 32 patients. Urology 64(4):789–793, discussion 793–4PubMedCrossRefGoogle Scholar
  7. 7.
    Fusaro F, Zanon GF, Ferreli AM et al (2004) Renal transplantation in prune-belly syndrome. Transpl Int 17(9):549–552PubMedCrossRefGoogle Scholar
  8. 8.
    Baris S, Karakaya D, Ustun E, Tur A, Rizalar R (2001) Complicated airway management in a child with prune-belly syndrome. Paediatr Anaesth 11(4):501–504PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Robert S. Holzman
    • 1
  • Thomas J. Mancuso
    • 1
  • Navil F. Sethna
    • 1
  • James A. DiNardo
    • 1
  1. 1.Children’s Hospital BostonHarvard Medical SchoolBostonUSA

Personalised recommendations