Complications After Esophageal Anastomosis in Newborns
- DOI
- 10.2991/ahsr.k.220103.039How to use a DOI?
- Keywords
- esophageal atresia; newborns; primary anastomosis; complications
- Abstract
Esophageal atresia is a congenital anomaly in which the oral end of the esophagus ends in a pouch. Its frequency is 1 in 2500–4500 newborns. Esophageal atresia is considered a complex malformation; the results of its treatment are used to judge the level of surgical care provided by the medical institution. With this malformation, the operation of choice is to perform a primary esophageal anastomosis. Primary anastomosis may be accompanied by severe early and late complications, such as anastomotic leakage, recurrent tracheo-esophageal fistula, esophageal stenosis, the development of reflux esophagitis, etc. However, according to many authors, large diastasis between the segments of the esophagus, concomitant anomalies and body weight less than 1,500 g are obstacles for primary anastomosis. In such situations, the implementation of a delayed esophageal anastomosis or replacement of the esophagus with a large intestine or stomach is recommended. Currently, with the introduction of thoracoscopically performed esophageal anastomosis in newborns, there is an improvement in the results of treatment with esophageal atresia. According to the authors, approximately 75 % of operations for esophageal atresia can be performed thoracoscopically with good results. Progress in thoracoscopic treatment of esophageal defect has significantly improved the quality of life of children after surgical correction of the anomaly.
- Copyright
- © 2022 The Authors. Published by Atlantis Press International B.V.
- Open Access
- This is an open access article under the CC BY-NC license.
Cite this article
TY - CONF AU - V. A. Savvina AU - Yu. P. Pavlyukova AU - A. Yu. Tarasov PY - 2022 DA - 2022/01/17 TI - Complications After Esophageal Anastomosis in Newborns BT - Proceedings of the Conference on Health and Wellbeing in Modern Society (CHW 2021) PB - Atlantis Press SP - 194 EP - 198 SN - 2468-5739 UR - https://doi.org/10.2991/ahsr.k.220103.039 DO - 10.2991/ahsr.k.220103.039 ID - Savvina2022 ER -