Results of gastric pull-up procedure in neonatal long-gap esophageal atresia: a single center prospective study
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Article Type:
Research/Original Article (دارای رتبه معتبر)
Abstract:
Background
The management of long-gap esophageal atresia (LGEA) remains challenging and esophageal replacement is necessary in a number of cases, with the conduit of choice for potential surgical expertise. The current study aimed at assessing the outcomes of gastric pull-up surgery for esophageal reconstruction in children with LGEA, and investigating the postoperative results, complications, and mortality.
Materials and Methods
Sixteen patients with LGEA were studied at Tabriz Children’s Hospital, Tabriz, Iran. Gastric pull-up technique was used for esophageal replacement in all the patients. The study duration was 23 months from April 2014 to March 2016.
Results
The mean age of the patients was 7.31 ± 3.91 days. Eleven patients (68.75%) were male and five (31.25%) female. Seven patients (43.75%) had esophageal atresia type A and nine patients (56.25%) had the type C. All patients (100%) were in need for postoperative mechanical ventilation. Mean period of postoperative mechanical ventilation was5.69 ± 0.87 days. Postoperative mortality was observed in three patients (18.75%). Patients were followed up for six months after the operation; poor feeding was observed in four patients(30.77%) , mild respiratory distress in three patients (23.08%), and choking and aspiration in three patients (%23.08).
Conclusion
It was observed that gastric pull-up technique was a feasible and safe surgical method for patients with long-gap esophageal atresia when primary anastomosis was not possible. Quality of life, feeding, and growth pattern were also acceptable. However, long-term outcomes were not assessed in the current study.
Language:
English
Published:
Iranian Journal of Pediatric Surgery, Volume:4 Issue: 2, Dec 2018
Pages:
80 to 87
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