DELAYED ESOPHAGO-ESOPHAGEAL ANASTOMOSIS IN ESOPHAGEAL ATRESIA

Abstract

Purpose of the study: to estimate the efficacy of treatment and remote results of delayed esophago-esophageal anastomosis in children with EA.

Material and methods. We analyzed 18 case histories of children with delayed esophago-esophageal anastomosis performed at N. F. Filatov Children’s Municipal Clinical Hospital No. 13 from 2006 to 2016.

Results. Postoperative complications occurred in 16 children out of 18 (88.9%). Esophageal anastomotic leakage was developed in 4 patients (22.2%), anastomotic stenosis in 11 patients (61.1%) and gastroesophageal reflux in 14 children (77.8%). Lethality amounted to 16.7% (3 children) in the early postoperative period. As per the analysis of delayed results, dysphagia was noted in 92.3% of children. After delayed anastomosis 9 children underwent recurrent surgery, 4 of them had subsequent esophageal extirpation.

Conclusions. Considering the high rate of complications (88.9%) and bad delayed results, our observations do not allow us to recommend the delayed esophago-esophageal anastomosis as the surgery of choice for children with EA. 

Keywords

esophageal atresia / delayed esophago-esophageal anastomosis / thoracoscopy

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RIGHTS & PERMISSIONS

Razumovsky A.Y., Alkhasov A.B., Mokrushina O.G., Kulikova N.V., Gebekova S.A.