Bhubaneswar, March 24: Pediatricians at the Institute of Medical Sciences and SUM Hospital, faculty of medicine of the Siksha ‘O’ Anusandhan Deemed to be University (SOA), have successfully turned around a low birth weight baby boy suffering from esophageal atresia.
The baby, born to a 27-year-old mother who had Rh negative pregnancy and history of previous abortion, weighed 2.1 kg at birth.
The baby suffered from esophageal atresia which was not diagnosed during ante-natal period and was shifted to the NICU after developing difficulty in breathing, Dr. Debasish Nanda, Head of the Neonatology department, said.
“This lesion is a least common variant of trachea esophageal fistula. In addition, the baby was diagnosed with a congenital cyanotic heart disease,” he said.
The baby was initially managed at the neonatal ICU before surgery was planned. But the surgical approach was further complicated when it was found that the baby had right sided aortic arch. The treating team, however, went ahead with the surgery.
Post-surgery, Dr. Nanda said, the baby was found to be very sick and was managed in the neonatal ICU. However, there was marked improvement in the patient’s condition enabling oral feeding which led to the baby’s discharge.
A multi-disciplinary team including faculties from neonatology, pediatric surgery, pediatric cardiology and anesthesia was involved in the treatment of the baby. The team comprised Dr. Nanda, Dr. Bhabagrahi Mallick, Dr. Ratan Kumar Das, Dr. Vijay Kumar, Dr. Debi Prasad Sahoo, Dr. Bineet Panigrahi, Dr. Payal Pradhan, Dr. Bhagyashree Mohapatra, Dr. Kalpita Sahoo, Dr. Suresh Tripathy and Dr. Sitikantha Nayak.
The pediatric surgery team was led by Dr. Antaryami Pradhan and Dr. Subash Chandra Subudhi. As the baby had cardiac issues, pediatric cardiologist Dr. Anuspandana Mohapatra regularly supervised the condition of the patient.
The team received the necessary support from Prof. (Dr.) Sanghamitra Mishra, Dean, IMS and SUM Hospital and Prof. (Dr.) Pusparaj Samantasinhar, Medical Superintendent of the hospital, Dr. Nanda said.
