Clinical Finding of Atresia Esophagus in Rural Hospital Kaimana, West Papua: A Case Report

Muhammad Za’im Al Rasyid1*, Herman Wambrauw1, Dewa Putu Satria Juristiasa2, Agung Danan Jaya3

Abstract

Background: Esophageal atresia is a relatively rare condition, this complex anomaly is still a challenging problem in pediatric surgery, with a low incidence of 1 in 2500 to 1 in 4500 births. Diagnosis and management are very challenging, especially in remote areas such as Kaimana, West Papua. Delays in diagnosis and management can worsen clinical outcomes due to complications. Case presentation: A 1-day-old male infant was consulted to the surgical department with complaints of vomiting milk every time he was given a drink, the patient was diagnosed with type A esophageal atresia with aspiration pneumonia. The patient was managed with gastrostomy with the Stamm procedure, the aim of the procedure was to provide nutrition for the patient and decompression. After surgery, the baby showed improvement, but on the 3rd day after surgery the symptoms of aspiration pneumonia continued to worsen and finally, the baby died of respiratory failure and sepsis. Conclusion: Esophageal atresia is a rare condition, and early diagnosis, especially prenatally, is very important so that the baby can be managed quickly and appropriately. Surgical intervention is important to be done as early as possible to prevent serious complications in infants.

Keywords

esophageal atresia; gastrostomy; stamm procedure; kaimana; west papua.

Cite This Article

Al Rasyid, M. Z., Wambrauw, H., Juristiasa, D. P. S., Jaya, A. D. (2025). Clinical Finding of Atresia Esophagus in Rural Hospital Kaimana, West Papua: A Case Report. International Journal of Scientific Advances (IJSCIA), Volume 6| Issue 2: Mar-Apr 2025, Pages 368-372 URL: https://www.ijscia.com/wp-content/uploads/2025/04/Volume6-Issue2-Mar-Apr-No.867-368-372.pdf

Volume 6 | Issue 2: Mar – Apr 2025