Background: Anastomotic stricture is an important problem after esophageal atresia (EA) repair. This study evaluates a technique of oblique esophageal anastomosis without use of a flap in order to prevent stricture formation. Methods: Medical records of 16 patients (14 with EA type III and 2 with EA type IV Ladd-Gross classification) who underwent primary repair of EA at birth without anastomotic tension were reviewed, evaluating long-term follow-up results. All patients were studied with esophageal contrast study, pH-multichannel intraluminal impedance, and endoscopy. The incidence of complications and their management were analysed. Results: Contrast esophagogram and esophagoscopy always showed regular patency of the suture line. Conclusions: Our technique of oblique anastomosis is simple, safe, and effective in preventing stricture formation even in the long-term follow-up.

Catalano, P., Di Pace, M.R., Caruso, A.M., Salerno, S., Cimador, M., & De Grazia, E. (2012). A simple technique of oblique anastomosis can prevent stricture formation in primary repair of esophageal atresia. JOURNAL OF PEDIATRIC SURGERY, 47, 1767-1771 [10.1016/j.jpedsurg.2012.04.021].

A simple technique of oblique anastomosis can prevent stricture formation in primary repair of esophageal atresia

DI PACE, Maria Rita;SALERNO, Sergio;CIMADOR, Marcello;DE GRAZIA, Enrico
2012

Abstract

Background: Anastomotic stricture is an important problem after esophageal atresia (EA) repair. This study evaluates a technique of oblique esophageal anastomosis without use of a flap in order to prevent stricture formation. Methods: Medical records of 16 patients (14 with EA type III and 2 with EA type IV Ladd-Gross classification) who underwent primary repair of EA at birth without anastomotic tension were reviewed, evaluating long-term follow-up results. All patients were studied with esophageal contrast study, pH-multichannel intraluminal impedance, and endoscopy. The incidence of complications and their management were analysed. Results: Contrast esophagogram and esophagoscopy always showed regular patency of the suture line. Conclusions: Our technique of oblique anastomosis is simple, safe, and effective in preventing stricture formation even in the long-term follow-up.
Catalano, P., Di Pace, M.R., Caruso, A.M., Salerno, S., Cimador, M., & De Grazia, E. (2012). A simple technique of oblique anastomosis can prevent stricture formation in primary repair of esophageal atresia. JOURNAL OF PEDIATRIC SURGERY, 47, 1767-1771 [10.1016/j.jpedsurg.2012.04.021].
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10447/75996
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