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

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dc.contributor.authorUygun, İbrahim
dc.contributor.authorZeytun, Hikmet
dc.contributor.authorOtçu, Selçuk
dc.date.accessioned2024-04-24T17:58:19Z
dc.date.available2024-04-24T17:58:19Z
dc.date.issued2015
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Çocuk Cerrahisi Ana Bilim Dalıen_US
dc.description.abstractBackground: 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.en_US
dc.identifier.citationUygun, 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.
dc.identifier.doi10.4103/0189-6725.172572
dc.identifier.endpage279en_US
dc.identifier.issn0189-6725
dc.identifier.issue4en_US
dc.identifier.pmid26712295
dc.identifier.scopus2-s2.0-84954183125
dc.identifier.scopusqualityQ3
dc.identifier.startpage273en_US
dc.identifier.urihttps://doi.org/10.4103/0189-6725.172572
dc.identifier.urihttps://hdl.handle.net/11468/23828
dc.identifier.volume12en_US
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherMedknow Publicationsen_US
dc.relation.ispartofAfrican Journal of Paediatric Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAnastomotic leaken_US
dc.subjectAnastomotic strictureen_US
dc.subjectİsolated oesophageal atresiaen_US
dc.subjectLong-Gap oesophageal atresiaen_US
dc.subjectMyotomyen_US
dc.titleImmediate primary anastomosis for isolated oesophageal atresia: A single-centre experienceen_US
dc.titleImmediate primary anastomosis for isolated oesophageal atresia: A single-centre experience
dc.typeArticleen_US

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