[Mechanism of reflux and prevention of the pulmonary effects of aspiration after retrosternal colonoplasty for esophageal atresia in neonates and infants].
The article discusses the causes of the development and prevention of gastrointestinal reflux in the early period after colonic retrosternal plasty of the esophagus in the newborns and infants. The mechanism of reflux linked with flotation of pleural sacs in the retrosternal tunnel, producing a pumping effect, is described. As a preventive measure the authors recommend postponing the cervical anastomosis for 12-14 days and forming a narrow retrosternal tuppel for the graft. Operations were conducted on 15 children, 3 of them died, one from massive reflux, aspiration, and asphyxia.
Babliak
D E
DE
Pavliuk
A D
AD
D003106:Colon / Q000637:transplantation*; D004933:Esophageal Atresia / Q000601:surgery*; D005764:Gastroesophageal Reflux / Q000503:physiopathology* / Q000517:prevention & control; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D011015:Pneumonia, Aspiration / Q000517:prevention & control*; D011183:Postoperative Complications / Q000503:physiopathology* / Q000517:prevention & control; D013514:Surgical Procedures, Operative / Q000379:methods
Mekhanizm refliuksa i preduprezhdenie aspiratsionnykh porazhenii legkikh posle zagrudinnoĭ tolstokishechnoĭ plastiki pishchevoda pri ego atrezii u novorozhdennykh i grudnykh deteĭ.