[Cure of esophageal atresia types 1 and 2. Deferred primary anastomosis. Apropos of 6 cases].
From 1976 to 1981 six patients with esophageal atresia types 1 and 2 underwent a successful delayed primary anastomosis. At birth a gap between the upper and lower pouch (5 to 7 vertebras) was present. 9 to 14 weeks later, at surgery, the mean gap was 3 vertebras and the anastomosis was carried out without excessive tension. No upper pouch elongation was done before surgery and end-to-end esophageal anastomosis was accomplished without the need of circular myotomy. All patients are alive and well after a follow up period from 6 months to 6 years. We have to mention post-operative complications; 3 anastomotic extrapleural leaks were managed conservatively by peripheric parenteral nutrition, 1 post operative tracheo-esophageal fistula required a closure and 2 patients with a symptomatic gastro-esophageal reflux were managed by antireflux fundoplication. No anastomotic stricture was observed. The functional results are excellent.
D004314:Down Syndrome / Q000150:complications; D004933:Esophageal Atresia / Q000150:complications / Q000473:pathology / Q000601:surgery*; D004947:Esophagus / Q000473:pathology; D005764:Gastroesophageal Reflux / Q000601:surgery; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008722:Methods; D011183:Postoperative Complications / Q000601:surgery; D014138:Tracheoesophageal Fistula / Q000601:surgery
Cure de l'atrésie de l'oesophage de types 1 et 2. Anastomose primaire différée. A propos de 6 cas.