Long-gap oesophageal atresia: a combined endoscopic and radiologic evaluation.
The final aim of the treatment of oesophageal atresia is to restore continuity without the interposition of intestinal segments. The authors present the results of a new diagnostic method combining endoscopy and radiology to evaluate the development of pouches in oesophageal atresia. This new method has been successfully adopted in four patients aged between 4 and 8 months, three with type I and one with type III complicated atresia. Direct end-to-end anastomosis was performed in all patients. We think this method can be easily applied and is a suitable diagnostic examination in all cases in which surgical strategy aims at restoring oesophageal continuity by means of direct anastomosis.
Department of Paediatric Surgery, University of Genova, G. Gaslini Institute, Italy.
P E
PE
Caffarena
G
G
Mattioli
G
G
Bisio
G
G
Martucciello
G
G
Ivani
V
V
Jasonni
D000714:Anastomosis, Surgical; D004933:Esophageal Atresia / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D004945:Esophagoscopy; D004947:Esophagus / Q000601:surgery; D006801:Humans; D007223:Infant; D011859:Radiography