A simple technique of oblique anastomosis can prevent stricture formation in primary repair of esophageal atresia

作者：Catalano Pieralba^*; Di Pace Maria Rita; Caruso Anna Maria; Salerno Sergio; Cimador Marcello; De Grazia Enrico

来源：Journal of Pediatric Surgery, 2012, 47(9): 1767-1771.

DOI：10.1016/j.jpedsurg.2012.04.021

• Esophageal atresia
• Anastomotic stricture
• Anastomosis complication

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. %26lt;br%26gt;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. %26lt;br%26gt;Results: Contrast esophagogram and esophagoscopy always showed regular patency of the suture line. %26lt;br%26gt;Conclusions: Our technique of oblique anastomosis is simple, safe, and effective in preventing stricture formation even in the long-term follow-up.

• 出版日期2012-9