A simple technique of oblique anastomosis can prevent stricture formation in primary repair of esophageal atresia. Catalano, P., Di Pace, M. R., Caruso, A. M., Salerno, S., Cimador, M., & De Grazia, E. Journal of Pediatric Surgery, 47(9):1767–1771, September, 2012. doi abstract bibtex 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.
@article{catalano_simple_2012,
title = {A simple technique of oblique anastomosis can prevent stricture formation in primary repair of esophageal atresia},
volume = {47},
issn = {1531-5037},
doi = {10.1016/j.jpedsurg.2012.04.021},
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.},
language = {eng},
number = {9},
journal = {Journal of Pediatric Surgery},
author = {Catalano, Pieralba and Di Pace, Maria Rita and Caruso, Anna Maria and Salerno, Sergio and Cimador, Marcello and De Grazia, Enrico},
month = sep,
year = {2012},
keywords = {Anastomosis, Surgical, Esophageal Atresia, Esophageal Stenosis, Esophagoplasty, Female, Follow-Up Studies, Humans, Incidence, Infant, Newborn, Male, Postoperative Complications, Retrospective Studies, Treatment Outcome},
pages = {1767--1771},
}
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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. 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