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

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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

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

Russian Federation

A. B. Alkhasov

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

Email: 7111957@mail.ru

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

117997. Ostrovitanova st. 1. Moscow,

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

Russian Federation

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

Saidkhasan M. BATAEV Dr. Sci.(Med)

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

Russian Federation

G. Yu. Chumakova

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

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

Galina Yu. CHUMAKOVA PhD student, Department

Ostrovitianov str. 1, Moscow, 117997; 

Sadovaya – Kudrinskaya 13, Moscow, 123001,  +74992544001

Russian Federation

A. S.. Zadvernyuk

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

Email: drsasha81@mail.ru

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

Russian Federation

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Copyright (c) 2018 Razumovsky A.Y., Alkhasov A.B., Bataev S.M., Chumakova G.Y., Zadvernyuk A.S.

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