지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.86 No.2
- 발행연도
- 2014.2
- 수록면
- 83 - 90 (8page)
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초록· 키워드
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Purpose: The purpose was to evaluate outcomes according to different operative strategies of type A esophageal atresia (EA).
Methods: All patients who underwent surgery for type A EA between 1980 and 2011 were included. Patients were divided into 2 groups: E-E group included patients who received esophageal end-to-end anastomosis, whereas E-G group included patients who received esophago-gastric tube anastomosis.
Results: Twenty-two patients were included. The median gestational age was 37.5 weeks. The median birth weight was 2.5 kg. Twenty-one patients underwent gastrostomy as initial procedures, and one patient underwent primary esophageal end-to-end anastomosis. The median gap between both esophageal ends was six vertebral distance (VD). Seven patients underwent primary anastomosis of the esophagus, and 14 patients underwent gastric replacement. Three patients (13.6%) had anastomotic leakage and 10 patients (45.5%) had anastomotic stenosis. Most of the patients (90.9%) had gastroesophageal reflux, but only two patients required antireflux surgery. The median VD was significantly shorter in E-E group than in E-G group (3 VD vs. 6 VD). Stenosis was significantly more often in E-E group, but there was no significant difference in leakage and reflux symptoms.
Conclusion: The treatment for type A EA can include E-E anastomosis or E-G anastomosis, depending on the length of the end-to-end interval after performing gastrostomy. Appropriate tension and blood flow in the anastomosis site are essential for preventing postoperative stenosis and leakage, and esophageal replacement with gastric tube is believed to be feasible and safe in cases where excessive tension is present.
Methods: All patients who underwent surgery for type A EA between 1980 and 2011 were included. Patients were divided into 2 groups: E-E group included patients who received esophageal end-to-end anastomosis, whereas E-G group included patients who received esophago-gastric tube anastomosis.
Results: Twenty-two patients were included. The median gestational age was 37.5 weeks. The median birth weight was 2.5 kg. Twenty-one patients underwent gastrostomy as initial procedures, and one patient underwent primary esophageal end-to-end anastomosis. The median gap between both esophageal ends was six vertebral distance (VD). Seven patients underwent primary anastomosis of the esophagus, and 14 patients underwent gastric replacement. Three patients (13.6%) had anastomotic leakage and 10 patients (45.5%) had anastomotic stenosis. Most of the patients (90.9%) had gastroesophageal reflux, but only two patients required antireflux surgery. The median VD was significantly shorter in E-E group than in E-G group (3 VD vs. 6 VD). Stenosis was significantly more often in E-E group, but there was no significant difference in leakage and reflux symptoms.
Conclusion: The treatment for type A EA can include E-E anastomosis or E-G anastomosis, depending on the length of the end-to-end interval after performing gastrostomy. Appropriate tension and blood flow in the anastomosis site are essential for preventing postoperative stenosis and leakage, and esophageal replacement with gastric tube is believed to be feasible and safe in cases where excessive tension is present.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (30)
참고문헌 신청
1. [학술지(정기간행물)] - Maksoud-Filho JG. / 2002 / An exclusively intraabdominal distal esophageal segment prevents primary delayed anastomosis in children with pure esophageal atresia / J Pediatr Surg 37 : 1521 ~ 1525
2. [학술지(정기간행물)] - Guo W. / 1997 / Relationship of esophageal anastomotic tension to the development of gastroesophageal reflux / J Pediatr Surg 32 : 1337 ~ 1340
3. [학술지(정기간행물)] - Puri P. / 1981 / Delayed primary anastomosis following spontaneous growth of esophageal segments in esophageal atresia / J Pediatr Surg 16 : 180 ~ 183
4. [학술지(정기간행물)] - Sanal M. / 2007 / Pure esophageal atresia with normal outer appearance: case report / J Pediatr Surg 42 : E1 ~ E3
5. [학술지(정기간행물)] - Humphreys GH. / 1964 / Management of esophageal atresia / Am J Surg 107 : 406 ~ 411
2. [학술지(정기간행물)] - Guo W. / 1997 / Relationship of esophageal anastomotic tension to the development of gastroesophageal reflux / J Pediatr Surg 32 : 1337 ~ 1340
3. [학술지(정기간행물)] - Puri P. / 1981 / Delayed primary anastomosis following spontaneous growth of esophageal segments in esophageal atresia / J Pediatr Surg 16 : 180 ~ 183
4. [학술지(정기간행물)] - Sanal M. / 2007 / Pure esophageal atresia with normal outer appearance: case report / J Pediatr Surg 42 : E1 ~ E3
5. [학술지(정기간행물)] - Humphreys GH. / 1964 / Management of esophageal atresia / Am J Surg 107 : 406 ~ 411
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UCI(KEPA) : I410-ECN-0101-2015-510-001271681