Novosti
Khirurgii
This journal is
indexed in Scopus



Year 2010 Vol. 18 No 3

PAEDIATRIC SURGERY

KOVALCHUK V.I., NOVOSAD V.V.

COMPARATIVE ESTIMATION OF THE OPERATIVE TREATMENT RESULTS OF THE ESOPHAGUS ATRESIA

Objective. To study the treatment results of the esophagus atresia in the clinic of pediatric surgery and to estimate the efficacy of the proposed techniques.
Methods. The present investigation was carried out at the clinic of pediatric surgery of GSMU, Grodno. The results analysis of the early postoperative period in the children with the esophagus atresia operated on in the period of 1995 to 2004 years (group A) was carried out by us. And the treatment results of children with the esophagus atresia were analyzed during the period of 2005 to 2009 years (group B), when the modified techniques of this defect treatment were used.
Results. The comparative estimation of the methods of treatment and their results in children with the esophagus atresia up to 2004 year and later was performed. The modified techniques of the esophagus prolongation, the tracheoesophageal fistula treatment and esophagoesophagoanastomosis application are proposed.
Conclusion. The reduction of the general and postoperative lethality rate is marked as well as the reduction of the failures of the esophagus and lack of hemorrhage and lack of recurrences of the tracheoesophageal fistula. The use of the bougieurage technique of the proximal end of the esophagus and the method of the anastomosis application at diastasis of 1,5–2,0 cm permitted to avoid completely esophagocoloplasty. The applied technique of the tracheoesophageal fistula treatment permits to avoid trachea deformations and fistula recurrences.

Keywords: esophageal atresia, dehiscence of anastomosis, esophageal stricture, recurrence of the tracheoesophageal fistula, hemorrhage
p. 97 – 102 of the original issue
References
  1. Баиров, Г. А. Атлас операций у новорождённых / Г. А. Баиров, Ю. Л. Дорошевский, Т. К. Немилова. – Л.: Медицина, 1984. – 254 с.
  2. Красовская, Т. В. Хирургическая тактика при различных формах атрезии пищевода: обзор / Т. В. Красовская, Ю. И. Кучеров, Х. Н. Батаев // Детская хирургия. – 2000. – № 5. – С. 46-50.
  3. Природжені вади розвитку травного тракту / В. З. Москаленко [и др]; под общ. ред. В. З. Москаленко. – Севастополь: Вебер, 2003. – 103 с.
  4. Rokitansky, A. Influence of associated malformations on survival rate of surgically uncomplicated esophageal atresia cases / A. Rokitansky, A. Kolankaya, J. Mayreta // Acta chir. Austriaca. – 1993. – N 6. – P. 377-380.
  5. A Study of Esophageal Strictures after Surgical repair of Esophageal Atresia / M. Peyvasteh [et al.] // Pak. J. Med. Sci. – 2006. – Vol. 22, N 3. – P. 269-272.
  6. Lengthening technique for long gap esophageal atresia and early anastomosis / A. R. Qahtani [et al.] // Journal of Pediatric. Surgery. – 2003. – Vol. 38, N 2. – P. 737-739.
  7. Тератология человека / Г. И. Лазюк [и др.]; под общ. ред. Г. И. Лазюка. – Москва: Медицина, 1991. – 480 с.
  8. Способ оперативного лечения атрезии пищевода: пат. 12192 Респ. Беларусь, МПК А 61В 17/00 / В.И. Ковальчук, В.В. Новосад; заявитель Гродн. гос. мед. ун-т. – № а 20070339; заявл. 02.04.07; опубл. 30.08.09 // Афіцыйны бюл. / Нац. цэнтр інтэлектуал. уласнасці. – 2009. – № 4. – С. 63-64.
  9. Способ хирургического лечения трахеопищеводного свища при атрезии пищевода: пат. 12503 Респ. Беларусь, МПК А 61В 17/00 / В. И. Ковальчук, В. В. Новосад; заявитель Гродн. гос. мед. ун-т. – № а 20070340; заявл. 02.04.07; опубл. 30.10.09 // Афіцыйны бюл. / Нац. цэнтр інтэлектуал. уласнасці. – 2009. – № 5. – С. 45.
Contacts | ©Vitebsk State Medical University, 2007