Immediate primary anastomosis for isolated oesophageal atresia: A single-centre experience

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Küçük Resim

Tarih

2015

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Medknow Publications

Erişim Hakkı

info:eu-repo/semantics/openAccess

Özet

Background: Isolated oesophageal atresia without tracheo-oesophageal fistula represents a major challenge for most paediatric surgeons. Here, we present our experience with six neonates with isolated oesophageal atresia who successfully underwent immediate primary anastomosis using multiple Livaditis circular myotomy. Materials and Methods: All six neonates were gross type A isolated oesophageal atresia (6%), from among 102 neonates with oesophageal atresia, treated between January 2009 and December 2013. Five neonates were female; one was male. The mean birth weight was 2300 (range 1700-3100) g. Results: All six neonates successfully underwent immediate primary anastomosis using multiple myotomies (mean 3; range 2-4) within 10 (median 3) days after birth. The gap under traction ranged from 6 to 7 cm. One neonate died of a major cardiac anomaly. Another neonate was lost to follow-up after being well for 3 months. Three anastomotic strictures were treated with balloon dilatation, and four anastomotic leaks were treated conservatively. The mean duration of follow-up was 33 months. Conclusions: To treat isolated oesophageal atresia, an immediate primary anastomosis can be achieved using multiple myotomies. Although, this approach is associated with high complication rates, as are other similar approaches, these complications can be overcome.

Açıklama

Anahtar Kelimeler

Anastomotic leak, Anastomotic stricture, İsolated oesophageal atresia, Long-Gap oesophageal atresia, Myotomy

Kaynak

African Journal of Paediatric Surgery

WoS Q Değeri

Scopus Q Değeri

Q3

Cilt

12

Sayı

4

Künye

Uygun, İ., Zeytun, H. ve Otçu, S. (2015). Immediate primary anastomosis for isolated oesophageal atresia: A single-centre experience. African Journal of Paediatric Surgery, 12(4), 273-279.