[Pathohistologic studies of the upper esophageal blind pouch--a contribution to the discussion of the cause of anastomotic insufficiency following surgically treated esophageal atresia].
The pathological and anatomical findings obtained in studies of the upper oesophageal blind pouch are described for ten cases of oesophageal atresia where no surgical operations were performed. Figuring prominently in this conjunction are both aplasias and hypoplasias of muscular layers with deficiencies and textural disturbances as well as reductions of intramural ganglia and glands. These particular results are discussed as causes of anastomotic insufficiency after surgical operation for oesophageal atresia. Communications reporting comparable results were not found in literature. From an interpretation of findings it is obvious that the surgical procedure cannot, in many cases, be blamed for anastomotic insufficiency, but that the latter appears to be due essentially to textural disturbances in the oesophageal blind pouches. Also, this would explain why it was not, in the last couple of years, possible to achieve a further reduction in the postoperative lethality rate.
D004848:Epithelium / Q000473:pathology; D004933:Esophageal Atresia / Q000473:pathology / Q000601:surgery*; D004947:Esophagus / Q000473:pathology; D006801:Humans; D007231:Infant, Newborn; D009130:Muscle, Smooth / Q000473:pathology; D013529:Surgical Wound Dehiscence / Q000473:pathology*
Pathohistologische Untersuchungen am oberen Osophagusblindsack--Ein Beitrag zur Diskussion über die Ursache der Anastomoseninsuffizienz nach operierter Osophagusatresie.