Long-term results following repair of esophageal atresia by end-to-side anastomosis and ligation of the tracheoesophageal fistula*
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Cited by (39)
Primary repair of long gap esophageal atresia in a neonate employing circular myotomy on upper pouch and a novel hemicircular myotomy on the distal pouch
2019, Journal of Pediatric Surgery Case ReportsCitation Excerpt :We did not encounter anastomotic leak and we credit it to preservation of the blood supply of the lower pouch due to the unique technique of hemi circular myotomy, as the latter doses not involve aggressive full mobilization of lower pouch (a prerequisite for full circular myotomy). Incidence of anastomotic stricture ranges from 8 to 49% [36,39] and is as high as 50% in the long gap group [42]. In our case, we expected the stricture because of long gap and tension at the time of anastomosis (in-spite of good blood supply to both upper and lower pouches) and it is amenable to dilatation.
Slide tracheoplasty for the treatment of tracheoesophogeal fistulas
2014, Journal of Pediatric SurgeryA simple technique of oblique anastomosis can prevent stricture formation in primary repair of esophageal atresia
2012, Journal of Pediatric SurgeryCitation Excerpt :Its incidence varies between 18% and 50%, depending upon the criteria for the definition of stricture [1-6]. Several predisposing factors can be implicated in the pathogenesis of the anastomotic stricture: nature of suture material [10], type of anastomosis [11-13], anastomotic tension related to gap length [14], tissue ischemia [10,15], anastomotic leak [10,15] and GER [16,17]. The anastomotic technique plays a very important role in the prevention of strictures [9,13,16].
Surgical management with or without a nasogastric tube in esophageal repairs
2012, International Journal of Pediatric OtorhinolaryngologyCitation Excerpt :Among the factors implicated in oesophageal anastomotic stricture following primary repair of OA are the use of silk sutures, anastomotic technique, two-layer anastomosis, end-to-side anastomosis, anastomotic tension, anastomotic leaks, and gastroesophageal reflux. All these factors are responsible in the esophageal strictures [6–12]. Nasogastric tube (NGT) can cause gastroesophageal reflux during healing of esophageal anastomosis.
Esophageal atresia/tracheoesophageal fistula in very low-birth-weight neonates: improved outcomes with staged repair
2009, Journal of Pediatric SurgeryCitation Excerpt :However, despite improvement in survival ranging from 36% before 1950s to as high as 95% after 1995, the incidence of anastomotic complications and postoperative morbidity remains consistently high [2,3]. The reported leak rate in all patients with EA/TEF varies from 8.5% to 35%, and stricture rates from 8% to 37% [2,3,15-18]. Both primary and staged repair have been used in many institutions and various studies report conflicting results with regard to morbidity and mortality in VLBW infants [5,19].
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Presented before the Twelfth Annual Meeting of the American Pediatric Surgical Association together with the British Association of Paediatric Surgeons, Tarpon Springs, Florida, April 29–May 2, 1981.
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From the Section of Pediatric Surgery, Yale University School of Medicine and the Yale-New Haven Hospital, New Haven, Conn.