Cover Page

Cite item


The study aims at the improvement of surgical treatment results of esophageal atresia in newborns by improving the technique of esophageal anastomosis. Materials and methods: the results of surgical correction of esophageal atresia (EA) were comparatively analyzed in 116 newborns staying at the department of neonatal surgery of the Republican perinatal center. Simultaneously, correction of such accompanying abnormities in 10 cases was performed. These were 6 cases of sigmoidostomy, 2 cases of correction of duodenal ileus, 1 case of proctoperineoplasty, and 1 case of patent arterial duct (PAD) dressing. Depending on a method of surgery the patients were divided into two groups: 1st (basic) group comprised 51 patients with EA who underwent surgery using a new technique, 2nd (control) group consisted of 65 patients who had a usual surgery. Results: among the patients from the basic group who underwent surgery using a modern technique anastomotic leakage was observed in 4 children only (8%) which is almost three times less than when the anastomosis was applied traditionally. For the control group (n=65), the anastomotic leakage was noted in 15 patients (23%) in the early preoperative period. 6 (40%) patients had severe purulent and septic complications which was one of the leading reasons for postoperative lethality. Conclusion: thus, based on the results of our observations we can make a conclusion that usage of the modern surgery technique considerably decreases the risk of postoperative leakage improving the results of esophageal atresia surgery.

About the authors

B. B. Erhashev

Republican Educational Therapeutic and Methodological Center of Neonatal Surgery at the Republican Perinatal Center

Author for correspondence.
Email: neosurgery@mail.ru
Russian Federation

Sh. D. Eshkabilov

Republican Educational Therapeutic and Methodological Center of Neonatal Surgery at the Republican Perinatal Center; Pediatric Medical Institute in Tashkent

Email: shukur_s@mail.ru
Russian Federation


  1. Голованов Е.С., Малышев М.Г. Атрезия пищевода у новорожденных в Архангельской области // Экология человека. 2003. № 4. С. 26-28.
  2. Eun Young Chang, Hye Kyung Chang, Seok Joo Han et al. Clinical characteristics and treatment of esophageal atresia: a single institutional experience // J. Korean Surg. Soc. 2012. Vol. 83. P. 43-49.
  3. Jain P., Debnath P.R., Jainet V. et al. Multiple anastomotic complications following repair of oesophageal atresia with tracheoesophageal fistula. A report of two cases // African Journal of Paediatric Surgery. 2011. Vol. 8. No. 2. P. 244-248.
  4. Sharma D., Murki S., Pratap T. Anastomotic leak after primary repair of tracheoesophageal fistula: a dreadful condition // BMJ Case Report Publishing Group. 2014. P. 1-2.
  5. Alanesi K., Urschel J. D. Mortality secondary to esophageal anastomotic leak // Ann. Thorac. Cardiovasc. Surg. 2004. Vol. 10. No. 2. P. 71-75.
  6. Бабляк Д.Е., Павлюк А.Д. Несостоятельность анастомоза пищевода при радикальной пластике врожденной атрезии пищевода // Грудная хирургия. 1988. № 4. С. 63-69.
  7. Немилова Т.К., Аринцина И.А., Баиров В.Г. и др. История хирургии атрезии пищевода (по материалам Санкт-Петербургского центра хирургии новорожденных) // Вестник хирургии им. И.И. Грекова. 1997. Т. 156. № 2. С. 81-82.
  8. Красовская Т.В., Кучеров Ю.И., Батаев С.Х. М. и др. Осложнения оперативного лечения атрезии пищевода // Детская хирургия. 2001. № 3. С. 44-46.

Copyright (c) 2016 Erhashev B.B., Eshkabilov S.D.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies