Anastomotic leakage following surgery for esophageal atresia

Chittmittrapap, Soottiporn; Spitz, Lewis; Kiely, Edward M.; Brereton, R.J.

doi:10.1016/0022-3468(92)90098-r

Cited by 112 publications

(63 citation statements)

References 15 publications

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“…Moreover, major pleural tears during dissection were not met in any case and only minor tears were reported in 4 cases only and this didn't affect the postoperative outcome. Anastomotic leaks were reported to occur in 14-21% of patients with EA [8,[15][16][17]. Our 16% incidence of anastomotic leak falls within the same range.…”

Section: Discussionsupporting

confidence: 72%

Balloon Dissection for Extra Pleural Approach in Tracheoesophageal Fistula Repair; A Novel Technique

Elqader¹,

Ghnnam²

2017

IJCTS

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Abstract:Objective: The extra-pleural approach for the tracheoesophageal fistula is preferred by most of pediatric surgeons because the possible substantial anastomotic leak will end in a fistula rather than an empyema. The problem with this technique that it is time consuming for pleural separation and liable for pleural tears. We studied a new method for using of Foley's catheter balloon to push the pleura away from the chest wall in an easier manner and shorter time. Method: A 25 neonate with tracheoesophageal fistula was managed with the extra-pleural approach using the Foley's catheter balloon as a method of pleural separation. Results: The mean time for pleural dissection was 4.5 m (266.4 sec) with a range of 2 m, 47 sec (167 sec) -6 m, 18 sec (378 sec). Only 4 minor pleural tears were encountered (16%) that passed smoothly. 4 Anastomotic leaks occurred that were managed conservatively and 2 mild Anastomotic strictures (8%) occurred and were managed conservatively. Conclusion: Balloon dissection is a valuable addition to management of esophageal atresia. It accomplishes pleural separation from the rib cage in short time and easy manner with nearly 0% incidence of significant pleural tears. Moreover, it improves the outcome of possible postoperative anastomotic leak without adding to the patient's morbidity or the hospital cost.

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Section: Discussionsupporting

confidence: 72%

Balloon Dissection for Extra Pleural Approach in Tracheoesophageal Fistula Repair; A Novel Technique

Elqader¹,

Ghnnam²

2017

IJCTS

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“…Routine contrast study rarely seems to detect a leak and its performance may delay commencement of feeds and thus prolong hospital stay. Other studies in which routine contrast has been employed have detected higher leak rates, for example 26 per cent by Okada et al 14 in 1997 and 17 per cent by Chittmittrapap and co-workers 26 in 1992.…”

Section: Discussionmentioning

confidence: 95%

Contemporary management and outcomes for infants born with oesophageal atresia

Burge

Shah

Spark

et al. 2013

British Journal of Surgery

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“…In 2005, C.D'Urzo et al (5) reported that a leakage closed after 43 days with conservation management. If a leak is major, one that accounts for a quarter of the circumference of the anastomosis, surgical repair must be undertaken according to the criteria of Chittmittrapap et al (1). There are many surgical repair methods for anastomotic leakage, which include primary direct suture, repair with pleura or intercostal muscle patches, gastric transposition, and colonic interposition.…”

Section: Discussionmentioning

confidence: 99%

Use of pericardium to repair anastomotic leak after esophageal atresia surgery; experience with one case

et al. 2017

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Diverse therapies for the management of anastomotic leakage after esophageal atresia repair have been reported with various outcomes. The surgical management of anastomotic leakage after esophageal atresia repair can be challenging. We present a child with long-gap esophageal atresia and anastomotic leakage repair with pericardium. This article aimed to illustrate that pericardium may be a substitute for esophageal leakage repair. (Turk Pediatri Ars 2017; 52: 43-5)

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Anastomotic leakage following surgery for esophageal atresia

Cited by 112 publications

References 15 publications

Balloon Dissection for Extra Pleural Approach in Tracheoesophageal Fistula Repair; A Novel Technique

Balloon Dissection for Extra Pleural Approach in Tracheoesophageal Fistula Repair; A Novel Technique

Contemporary management and outcomes for infants born with oesophageal atresia

Use of pericardium to repair anastomotic leak after esophageal atresia surgery; experience with one case

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