End-to-End Versus End-to-Side Anastomosis in the Treatment of Esophageal Atresia or Tracheo-Esophageal Fistula

Askarpour, Shahnam; Ostadian, Nasrollah; Peyvasteh, Mehran; Alavi, Mostafa; Javaherizadeh, Hazhir

doi:10.1590/0102-6720201600010012

Cited by 4 publications

(3 citation statements)

References 9 publications

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“…At term, there is no significant differences between end-to-end and end-to-side anastomosis, despite end-to-side repair has been reported to be associated with reduced rate of stricture and gastro-oesophageal reflux disease requiring operation compared with end-to-end repair. [ 25 , 26 ] Operative repair involving resection of the fistula, suture of trachea and oesophagus followed by interposition of large vascularised pleural flap has demonstrated no evidence of recurrence at long-term follow-up. [ 27 ]…”

Section: Discussionmentioning

confidence: 99%

Successful Management of Oesophageal Atresia in Cameroon, Sub-Saharan Africa

Fola¹,

Jemea²,

Bayiha³

et al. 2023

African Journal of Paediatric Surgery

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Background: Oesophageal atresia (EA) is the most common congenital anomaly of the oesophagus. Despite improvement of survival observed over the previous two decades in developed countries, the mortality remains very high and the management greatly challenging in resource-poor settings such as Cameroon. We report our experience of management of EA in this environment, with a successful outcome. Materials and Methods: We prospectively assessed patients diagnosed with EA and operated in January 2019, at the University Hospital Centre of Yaounde. Records were reviewed for demographics, history and physical examinations, radiological findings, surgical procedures and outcomes. The study has received approval from the Institutional Ethics Committees. Results: In total, six patients (three males and three females, sex ratio, 0.5; mean age at diagnosis, 3.6 days; range, 1–7 days) were assessed. A past history of polyhydramnios was found in one patient (16.7%). All patients were classified Waterston Group A at diagnosis, with Ladd-Swenson type III atresia. Early primary repair was performed in four patients (66.7%) and delayed primary repair in two patients (33.3%). Operative repair mainly involved resection of the fistula, suture of trachea and oesophagus end-to-end anastomosis, followed by interposition of vascularised pleural flap. Patients were followed up 24 months. With one late death, the survival rate was 83.3%. Conclusion: Improvement has been achieved in the outcomes of neonatal surgery in Africa in the past two decades, but EA-related mortality remains relatively too high. Using simple techniques and available, reproducible equipment can improve survival in resource-poor settings.

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Section: Discussionmentioning

confidence: 99%

Successful Management of Oesophageal Atresia in Cameroon, Sub-Saharan Africa

Fola¹,

Jemea²,

Bayiha³

et al. 2023

African Journal of Paediatric Surgery

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“…Esophageal stricture has some causes, including repaired esophageal atresia, caustic ingestion, and anastomotic stricture due to other causes. 1,4 According to a literature search in PubMed, there are few reports of EIT among children. Our report is maybe the first report of endoscopic incisional therapy among children in our country.…”

Section: Discussionmentioning

confidence: 99%

Electrocautery Incisional Therapy for Refractory Anastomotic Stricture in a Child: Report from Ahvaz, Iran

Javaherizadeh

Khalighi

Askarpour

et al. 2022

Middle East J Dig Dis

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Endoscopic electrocautery incisional therapy (EIT) is one of the methods for the treatment of refractory esophageal stricture among adult cases. There are few reports among children. Herein we report the successful use of EIT for a 13-year-old boy with an anastomotic stricture who was visited in our hospital due to poor feeding and inability to feed. The boy had undergone gastric resection due to gastric necrosis. This is the first report of electrocautery surgery using a needle knife for the treatment of benign esophageal stricture in our country.

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“…2,3 Furthermore, the two methods showed no significant differences between end-to-end, end-to-side, and side-to-side anastomosis with respect to anastomotic leakage rate. [4][5][6] A meticulous anastomotic technique is important to prevent the occurrence of anastomotic leakage following esophagogastric anastomosis. 7,8 Therefore, the use of appropriate anastomotic methods based on prior experience and expertise of the surgeon is a key imperative.…”

Section: Minimally Invasive Mckeown Esophagectomy (Mie Mckeown) Withmentioning

confidence: 99%

Modified layered hand‐sewn cervical end‐to‐side anastomosis for minimally invasive McKeown esophagectomy

Cheng

Liu

et al. 2021

Journal of Surgical Oncology

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Background: Minimally invasive McKeown esophagectomy (MIE McKeown) with cervical anastomosis is a widely used approach for the treatment of esophageal cancer (EC). Anastomotic leak is one of the most serious complications following esophagectomy. This study aimed to summarize the anastomosis procedure and assess the clinical outcomes of our modified layered hand-sewn cervical end-to-side anastomosis for cervical anastomosis during MIE McKeown. Methods: We retrospectively reviewed clinical data of 508 consecutive EC patients who underwent MIE McKeown using the modified layered hand-sewn cervical endto-side anastomosis between June 2016 and June 2020. Results: The incidence of anastomotic leakage in our cohort was 2.0%. The postoperative stricture rate was 6.9% and the incidence of other postoperative complications was less than 9.3%. The mean time for setting up MIE McKeown was approximately 211.0 min and the average duration of postoperative hospital stay was 9.1 days. Conclusion: This modified layered hand-sewn cervical end-to-side anastomosis is a safe and effective method for MIE McKeown with a low incidence of anastomotic leakage, anastomotic stricture, or other postoperative complications.

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End-to-End Versus End-to-Side Anastomosis in the Treatment of Esophageal Atresia or Tracheo-Esophageal Fistula

Cited by 4 publications

References 9 publications

Successful Management of Oesophageal Atresia in Cameroon, Sub-Saharan Africa

Successful Management of Oesophageal Atresia in Cameroon, Sub-Saharan Africa

Electrocautery Incisional Therapy for Refractory Anastomotic Stricture in a Child: Report from Ahvaz, Iran

Modified layered hand‐sewn cervical end‐to‐side anastomosis for minimally invasive McKeown esophagectomy

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