Risk factors and management for anastomotic stricture after surgical reconstruction of esophageal atresia
| Autor: | Hong-Yuan Hsu, Yen-Hsuan Ni, Huey-Ling Chen, Wen-Ming Hsu, Mei-Hwei Chang, Jia-Feng Wu, Che-Ming Chiang |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Anastomotic stricture Constriction Pathologic Anastomosis 03 medical and health sciences 0302 clinical medicine Postoperative Complications Nutritional status Risk Factors Retrospective analysis Medicine Humans In patient Risk factor Retrospective Studies Esophageal dilatation lcsh:R5-920 business.industry Therapeutic effect Anastomosis Surgical General Medicine medicine.disease Surgery Treatment Outcome 030220 oncology & carcinogenesis Atresia Esophageal atresia Esophageal Stenosis 030211 gastroenterology & hepatology business lcsh:Medicine (General) |
| Zdroj: | Journal of the Formosan Medical Association, Vol 120, Iss 1, Pp 404-410 (2021) |
| ISSN: | 0929-6646 |
| Popis: | Background/purpose Anastomotic stricture (AS) is a major morbidity of patients with esophageal atresia (EA) after surgical reconstruction. Our study determined the risk factors of AS after EA reconstruction. The therapeutic efficacy and complications of esophageal dilatation for children with AS were also evaluated. Methods Forty children treated for EA between January 2008 and December 2018 were included in this retrospective analysis. Esophageal dilatation was performed when AS was diagnosed. The therapeutic effect of esophageal dilatation was determined based on nutritional status, as assessed by the weight-for-age z-score. Results Sixteen EA patients developed AS. A gap >1.5 cm between the esophageal pouches (P = 0.02) in patients with EA and type A EA was a risk factor for developing AS. A mean of 7.7 sessions of esophageal dilatation were performed per patient, and no complications occurred. The nutritional status of EA children with AS after dilatation was not inferior to that of the children without AS at the 6-month follow-up. Conclusions A gap >1.5 cm between the esophageal pouches and type A EA are risk factors for AS after esophageal reconstruction. Esophageal dilatation is both safe and effective for managing strictures and improves nutritional status in EA children with AS. |
| Databáze: | OpenAIRE |
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