Pure Oesophageal Atresia at King Abdulaziz University Hospital from 1992 to 2008G: A Case Series
There are different acceptable methods in the management of pure esophageal atresia in common practice. All of them are staged procedures, like esophageal replacement, delayed anastomosis and elongation methods. The objective of this study was to evaluate the outcome of children with pure esophageal atresia, managed by delayed primary anastomosis & post operative complications in relation to this operative technique. A case series retrospective record was based on this study. All medical records were reviewed of patients diagnosed to have pure esophageal atresia from January 1992 to December 2008G at King Abdulaziz University Hospital, Jeddah, Saudi Arabia. Among ten infants found, eight were treated by delayed primary anastomosis. The waiting period ranged from 1 to 5 months in all patients, except one. A leak was seen in 4 cases, two of them had Livaditisâ€™ circular myotomy. Incidence of stricture was (62.5%). Pure esophageal atresia in King Abdulaziz University Hospital makes up 15.87% of all esophageal congenital anomalies. Waterston's classification did not affect the post operative procedure-related complications. Stricture was frequently seen in cases that had Livaditis' circular myotomy, but it responded to dilatation better than other cases anastomosed under tension. Radiologic assessment and the measurement of the gap in terms of vertebral bodies is a practical and reliable method to predict the feasibility of primary anastomosis.
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