Primary anastomosis in difficult cases of type “C” esophageal atresia: The atraumatic microvascular clamp technique of minimal tension with good outcome

Samraj, Pratheep; Chakraborty, Goutam; Sugandhi, Nidhi; Shoor, Gunjan; Acharya, Samir; Jadhav, Amit; Bagga, Deepak

doi:10.1016/j.jpedsurg.2020.12.005

Journal of Pediatric Surgery

2021

DOI: 10.1016/j.jpedsurg.2020.12.005

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Primary anastomosis in difficult cases of type “C” esophageal atresia: The atraumatic microvascular clamp technique of minimal tension with good outcome

Pratheep Samraj

Goutam Chakraborty

Nidhi Sugandhi

et al.

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2024

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Analysis of gap length as a predictor of surgical outcomes in esophageal atresia with distal fistula: a single center experience

Ishikawa,

Tomita,

Ito

et al. 2024

Pediatr Surg Int

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Long-gap esophageal atresia (LGEA) is still a challenge for pediatric surgery. No consensus exists as to what constitutes a long gap, and few studies have investigated the maximum gap length safely repairable by primary anastomosis. Based on surgical outcomes at a single institution, we aimed to determine the gap length in LGEA with a high risk of complications. MethodsThe medical records of 51, consecutive patients with esophageal atresia (EA) with primary repair in the early neonatal period between 2001 and 2021 were retrospectively reviewed. Three, major complications were found in the surgical outcomes: 1) anastomotic leakage, 2) esophageal stricture requiring dilatation, and 3) GERD requiring fundoplication. The predictive power of the postsurgical complications was assessed using receiver operating characteristic analysis, and the area under the curve (AUC) and the cutoff value with a speci city of > 90% were calculated. ResultsSixteen patients (31.4%) experienced a complication. The AUC of gap length was0.90 (p < 0.001), and the gap length cutoff value was ≥ 2.0 cm for predicting any complication (sensitivity: 62.5%, speci city: 91.4%). ConclusionA gap length ≥ 2.0 cm was considered as de ning LGEA and was associated with an extremely high complication rate after primary repair.

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Analysis of gap length as a predictor of surgical outcomes in esophageal atresia with distal fistula: a single center experience

Ishikawa,

Tomita,

Ito

et al. 2024

Pediatr Surg Int

View full text Add to dashboard Cite

show abstract

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Primary anastomosis in difficult cases of type “C” esophageal atresia: The atraumatic microvascular clamp technique of minimal tension with good outcome

Cited by 1 publication

References 10 publications

Analysis of gap length as a predictor of surgical outcomes in esophageal atresia with distal fistula: a single center experience

Analysis of gap length as a predictor of surgical outcomes in esophageal atresia with distal fistula: a single center experience

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