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Tytuł: Evolution in the treatment of congenital esophageal atresia within 20 years conducted in University Children’s Hospital, Jagiellonian University, Cracow : analysis of complications and long-term results
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The analysis for years 1990-2010 was done. Group: Patients no: 120, Birthweight: [<=1500g-14(12,7%), 1501-2500g 42(38,2%), >2 500g 54(49,1%)]EA Type: Distal TEF(Gross C) 90(81,8%) No TEF(Gross A) 20(18,2%) Assoc. anomalies: No anomaly 27(24,5%),Cardiac 36 (32,7%), Aliment. tr. 17 (15,4%), Genetic 9 (8,2%) Treatment: No Surgery 7(6%), Primary anastom. 90 (82%), Delayed anastom.13(18%),Circular myotomy 6, Gastric pull-up 5, Magnetic elongation and anastomosis 1, Foker op. 1 Mortality: Children operated 26/103(25%) Conclusions: 1. Statistically significant correlation was found between mortality rate and occurrence of: low birth weight, cardiac defects, isolated anorectal malformations and genetic defects. 2. In the group Gross A we found no statistically significant correlation between birthweight and mortality rate. This is all the more surprising because such a correlation is the base of all traditional risk factor. 3. When anastomosis is extremely risky, we recommend circular myotomy. 4. When reconstruction of own esophagus is impossible, gastric pull-up procedure can be used as a first choice. 5. In our conditions the esophagus elongation and neodymium magnets anastomosis procedure requires extensive work input. It will be a powerful tool in solving problems with long gap EA. This is confirmed by obtaining a patent in the USA and admittance for use of a device based on EA tre ; atment methods.
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Data ostatniej modyfikacji:
26 cze 2023
Data dodania obiektu:
18 mar 2021
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144
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http://dl.cm-uj.krakow.pl:8080/publication/4407
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| Nazwa wydania | Data |
|---|---|
| ZB-132228 | 26 cze 2023 |
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