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This report describes a successful outcome in a preterm baby with an esophageal atresia and tracheo-esophageal fistula, who initially underwent a primary esophageal repair; but a persistent nonexpanding lung on the side of surgery led to further investigations. A further diagnosis of an esophageal lung resulted in pneumonectomy and prophylactic placement of an intra-thoracic prosthesis to prevent post-pneumonectomy syndrome. To the best of our knowledge, this is the first report of a prophylactic placement of an intra-thoracic prosthesis in a neonate with the condition of esophageal atresia and tracheo-esophageal fistula and associated esophageal lung.

The serum creatinine levels were measured together with electrolytes by using an automatic analyser (Dimension, Delaware, USA), which were relayed by the reporting computer system (Ulti-view, Los Angeles, USA). [...]caution should be exercised in interpretation of serum creatinine levels in the first 72 hours of life.

This report describes a successful outcome in a preterm baby with an esophageal atresia and tracheo-esophageal fistula, who initially underwent a primary esophageal repair; but a persistent nonexpanding lung on the side of surgery led to further investigations. A further diagnosis of an esophageal lung resulted in pneumonectomy and prophylactic placement of an intra-thoracic prosthesis to prevent post-pneumonectomy syndrome. To the best of our knowledge, this is the first report of a prophylactic placement of an intra-thoracic prosthesis in a neonate with the condition of esophageal atresia and tracheo-esophageal fistula and associated esophageal lung.

With the appropriate knowledge of the age to initiate toilet training and acknowledging the factors that influence it, parents can prevent many health issues related to voiding. Our study aimed to determine the average age of the initiation of toilet training among Saudi children and the factors that may affect this training. This study was carried out by distributing questionnaires to mothers who attended various clinics in our institute. A sample included 1000 healthy Saudi children. The mean age of the initiation of toilet training in healthy children was 25.6 ± 9.4 months while the median was 24 months, the mean duration of training was 6.3 ± 9.1 months. Most children (92%) were trained in the summer months. Mother’s educational level, number of siblings, and socioeconomic status were significant factors that affected the age of initiation. However, mother’s occupation, caregiver, and the order and gender of the child did not have a significant effect on the initiation of toilet training. The median age of toilet training among our children matched other studies. Summer seems to be the preferred season to initiate training.