DELAYED ESOPHAGO-ESOPHAGEAL ANASTOMOSIS IN ESOPHAGEAL ATRESIA

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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. 

About the authors

A. Yu. Razumovsky

Pirogov Russian National Research Medical University of the Ministry of Health of Russia

Email: fake@neicon.ru

Доктор медицинских наук, проф., зав. каф. детской хирургии

главный детский хирург Департамента здравоохранения г. Москвы, Президент Российской ассоциации детских хирургов

Россия

A. B. Alkhasov

Pirogov Russian National Research Medical University of the Ministry of Health of Russia

Email: fake@neicon.ru
Доктор медицинских наук, проф. каф. детской хирургии Россия

O. G. Mokrushina

Pirogov Russian National Research Medical University of the Ministry of Health of Russia

Email: fake@neicon.ru
Доктор медицинских наук, проф. каф. детской хирургии Россия

N. V. Kulikova

N. F. Filatov Children’s Municipal Clinical Hospital No. 3, Moscow

Email: fake@neicon.ru
Врач-детский хирург Россия

S. A. Gebekova

Pirogov Russian National Research Medical University of the Ministry of Health of Russia

Author for correspondence.
Email: safffrat@mail.ru
Аспирант каф. детской хирургии Россия

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Copyright (c) 2017 Razumovsky A.Y., Alkhasov A.B., Mokrushina O.G., Kulikova N.V., Gebekova S.A.

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