ESOPHAGOPLASTY WITH STOMACH OR COLON ESOPHAGOPLASTY IN CHILDREN? COMPARISON OF TREATMENT OUTCOMES

Cover Page
  • Authors: Razumovsky A.Y.1,2, Alkhasov A.B.1,2, Bataev S.M.3, Chumakova G.Y.1,2, Zadvernyuk A.S.1,2
  • Affiliations:
    1. Pirogov Russian National Research Medical University
    2. Filatov Children’s Hospital
    3. Institute of pediatric surgery, Pirogov`s National University of Medical Research
  • Issue: Vol 8, No 4 (2018)
  • Pages: 22-32
  • Section: ОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯ
  • URL: https://rps-journal.ru/jour/article/view/475
  • DOI: https://doi.org/10.30946/2219-4061-2018-8-4-22-32

Abstract


Purpose. A prospective study was carried out. It compared treatment outcomes in children who underwent esophagoplasty with stomach or colon esophagoplasty.

Materials and methods. Clinical records of 172 patients who underwent esophagoplasty at N. F. Filatov Children’s Clinical Hospital No. 13 of Moscow from 2009 to 2015 were analyzed. The operated children were divided into two groups. 46 children from group 1 (basic group) aged 2 months to 13 years underwent esophagoplasty with stomach. 126 children aged 2 months to 18 years who had colon esophagoplasty were enrolled in group 2 (control group). In both groups, the majority was presented by children with atresia and corrosive strictures of esophagus. Clinical observation, esophagogastroduodenoscopy, contrast radiography, CT and MRI study, survey of patients were used to estimate direct and remote treatment outcomes.

Results. The analyzed groups were comparable for the course of the early postoperative period. The early postoperative period had no complications in 54% of cases in group I and in 54.4% of cases in group II. Recurrent surgeries for complications were more frequent in group I (23.9%) as compared to group II until signifcant indices were reached (10.3%, p = 0.04). In the comparison groups, patients’ quality of life were signifcantly different by the rate of almost any complications in the remote period. They demonstrated better quality of life for children after colon esophagoplasty.

Conclusion. Higher quality of life in children after colon esophagoplasty compared to children following esophagoplasty with stomach indicates that this is a surgery of choice in children.


About the authors

A. Yu. Razumovsky

Pirogov Russian National Research Medical University; Filatov Children’s Hospital

Email: 1595105@mail.ru

Russian Federation

Alexander Yu. RAZUMOVSKY Dr. Sci.(Med), Academician of the Academy of Sciences of the Russian Federation, President of the Russian Association of Pediatric Surgeons; 

Sadovaya – Kudrinskaya 13, Moscow, Russia, 123001, tel.:+7(499)254–40–01

A. B. Alkhasov

Pirogov Russian National Research Medical University; Filatov Children’s Hospital

Email: 7111957@mail.ru

Russian Federation

Abdumanap B. ALKHASOV Dr. Sci.(Med),, professor

117997. Ostrovitanova st. 1. Moscow,

Sadovaya – Kudrinskaya 13, Moscow, 123001, tel.:+7(499)254–40–01

S. M. Bataev

Institute of pediatric surgery, Pirogov`s National University of Medical Research

Email: khassan-2@yandex.ru
ORCID iD: 0000-0003-0191-1116

Russian Federation

Saidkhasan M. BATAEV Dr. Sci.(Med)

Shmitovskiy proezd 29, Moscow, 123317.  tel.: +7(499) 259–62–75

G. Yu. Chumakova

Pirogov Russian National Research Medical University; Filatov Children’s Hospital

Author for correspondence.
Email: chumakova-g@bk.ru

Russian Federation

Galina Yu. CHUMAKOVA PhD student, Department

Ostrovitianov str. 1, Moscow, 117997; 

Sadovaya – Kudrinskaya 13, Moscow, 123001,  +74992544001

A. S.. Zadvernyuk

Pirogov Russian National Research Medical University; Filatov Children’s Hospital

Email: drsasha81@mail.ru

Russian Federation

Alexander S. ZADVERNYUK Candidate of Medical Sciences, assistant of the Department of Pediatric Surgery

Ostrovitianov str. 1, Moscow, 117997;

Sadovaya – Kudrinskaya 13, Moscow, tel.:+74992544001

References

  1. Разумовский А.Ю., Степанов Э.А., Романов А.В., Батаев С.-Х.М., Захаров А.И., Алхасов А.Б. Сравнительная оценка результатов колоэзофагопластики у детей при проведении трансплантата за грудиной и в заднем отделе средостения. //Детская хирургия – 2000.– № 3.– с. 4–8.
  2. Батаев С.-Х.М., Разумовский А.Ю., Захаров А.И., Мартьянов А.В., Богаева И.И. О сроках выполнения пластики пищевода у детей с его атрезией. //Хирургия.– 2002.– № 11.– с. 8–13.
  3. Esteves E., Sousa-Filho H.B., Watanabe S., Silva J.F., Neto E.C., Cjsta A.L. Laparoscopically assisted esophagoectomy and colon interposition for esophageal replacement in children: preliminary results of a novel technique. J. Pediatr. Surg. 2010;45 (5):1053–60. doi: 10.1016/j.jpedsurg.2010.01.013
  4. Loukogeorgakis S.P., Pierro A., Kiely E.M., Cop P., Gross K. Comparison of minimally invasive and open gastric transposition in children. J. Laparoendosc. Adv. Surg. Tech. A. 2014;10 (24):742–9. doi: 10.1089/lap.2014.0079.
  5. Разумовский А.Ю., Гераськин А.В., Батаев С.-Х.М., Алхасов А.Б., Рачков В.Е., Митупов З.Б., Куликова Н.В., Феоктистова Е.В., Кулешов Б.В., Геодакян О.С., Беляева И.Д. Пластика глотки и пищевода у детей. //Российский вестник детской хирургии, анестезиологии и реаниматологии.– 2011.– т. 1.– № 11.– с. 13–23.
  6. Chokshi N.K., Guner Y.S., Ndiforchu F., Math R., Shin C.E., Nguyen N.X. Combined laparoscopic and thoracoscopic esophagectomy and gastric pull-up in a child. J. Laparoendosc Adv. Surg. Tech. A. 2009;19 (Suppl 1): 197–200. doi: 10.1089/lap.2008.0222.
  7. Hirshl R.B., Yardeni D., Oldham K., Sherman N., Siplovich L., Gross E. Gastric transposition for esophageal replasement in children experience with 41 consecutive cases with special emphasis on esophageal atresia. Ann. Surg. 2002;236 (4):531–41. doi: 10.1097/01.SLA.0000030752.45065.D1
  8. Verlag G.T. Outcomes of Esophageal Replacement: Gastric Pull-Up and Colonic Interposition Procedures. Eur. J.pediatr. Surg. 2018;28(01):022–9. doi: 10.1055/s-0037–1607041.
  9. Garrett D., Anselmo D., Ford H., Ndiforchu F., Nguyen N. Minimally invasive esophagectomy and gastricpull-up in children. Pediatric Surgery Int. 2011;27(7):737–42. DOIhttps://doi.org/10.1007/s00383–011–2862-z.
  10. Parrilli A., García W., Mejías J.G., Galbon I. Laparoscopic transhiatal esophagoectomy and gastric pull-upp in long-gap esopageal atresia: discriptitition of the technique in our frst 10 cases. J. Laparoendosc. Adv. Surg. Tech. A. 2013;23 (11):949–54. doi: 10.1089/lap.2013.0215
  11. Yildirim S., Köksal H., Celayir F. Erdem L., Oner M., Bayakan A. Colonic interposition vs. gastric pull-up after total esophagectomy. J. Gastrointest. Surg. 2004;(6):675–8. doi: 10.1016/j.gassur.2004.03.007
  12. Liu Jia M.M., Yang Yifan M.M., Zheng. Surgical outcomes of different approaches to esophageal replacement in long-gap esophageal atresia: A systematic review. Medicine: 2017;96(21):6942. doi: 10.1097/MD.0000000000006942.
  13. Gallo G., Zwaveling S., Groen H., Zee D., Hulsher J. Long-gap esophageal atresia: a meta-analysis of jejunal interposition, colon interposition, and gastric pull-up. Eur. J. Pediatr. Surg. 2012;22 (6):420–25. DOI http://dx.doi.org/10.1055/s-0032–1331459.
  14. Батаев С–Х.М., Разумовский А.Ю., Степанов Э.А., Захаров А.И., Попов И.В., Стеценко Х.В. Качество жизни пациентов после колоэзофагопластики, выполненной в детском возрасте. //Хирургия.– 2002.– № 5.– с. 48–53.
  15. Bradshaw C.J., Sloan K., Morandi A., Lakshminarayanan B., Cox S.G., Millar A.JW. Outcomes of Esophageal Replacement: Gastric Pull-Up and Colonic Interposition Procedures. Eur. J. Pediatr. Surg. 2018;28(1):22–9. doi: 10.1055/s-0037–1607041.
  16. Spitz L. Esophageal replacement: overcoming the need. J Pediatr Surg. 2014.49 (6):849–852. doi: 10.1016/j.jpedsurg.2014.01.011
  17. Spitz L., Kiely E., Pierro A. Gastric transposition in children – a 21-year experience. J. Pediatr. Surg. 2004;3 (39):276–81.
  18. Spitz L. Esophageal replacement: overcoming the need. J. Pediatr. Surg. 2014;49 (6):849–52. doi: 10.1016/j.jpedsurg.2014.01.011
  19. Riediger C., Maak M., Sauter B., Friess H., Rosenberg R. Surgical management of medicamentous, uncontrollable biliary reflux after esophagectomy and gastric pull-up. Eur. J. Surg. Oncol. 2010;36 (7):705–7. doi: 10.1016/j.ejso.2010.04.013

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