ОBVIATION OF DIASTASIS BETWEEN COLON END AND ESOPHAGUS DURING THE NECK ANASTOMOSIS FORMATION IN CASE OF ESOPHAGOPLASTY IN CHILDREN WITH ESOPHAGEAL ATRESIA
| Autor: | M. G. Chepurnoy, Y. V. Khoron’ko, E. G. Makletsov |
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| Jazyk: | English<br />Russian |
| Rok vydání: | 2014 |
| Předmět: | |
| Zdroj: | Медицинский вестник Юга России, Vol 0, Iss 2, Pp 100-103 (2014) |
| Druh dokumentu: | article |
| ISSN: | 2219-8075 2618-7876 |
| DOI: | 10.21886/2219-8075-2014-2-100-103 |
| Popis: | Purpose: To improve coloesophagoplasty outcomes in children with esophageal atresia when diastasis between the colon and neck part of esophagus came to 3.0 cm by lengthening the last one.Materials and Methods: A new method of esophagomyotomy using only longitudinal muscle fibers dissection was developed experimentally. This method was applied to perform an esophagoplasty in 3 children with primary-made double esophagostomy. The “end-to-end” esophagocoloanastomosis and presternum resections were made in all cases.Results: Keeping the circulatory muscle layer intact allows to avoid submucosal vessel’s damage, esophageal diverticula’s formation and to facilitate surgeon’s work, to decrease a period of operation. Two neck anastomoses were healed without fistula’s formation, one girl developed anastomosis inconsistency, so separation of anastomosis was made for a 6-month period with followed-up raconsruction.Summary: The neck part of esophagus elongation using Livaditis-Kimura esophagomyotomy in cases of coloesophagoplasty in children with esophageal atresia can be used as alternative method to eliminate diastasis between ends of colon and esophagus up to 3.0 cm. |
| Databáze: | Directory of Open Access Journals |
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