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Article: Anterior Flap Repair Of Oesophageal Atresia: A 16-Year Evaluation

TitleAnterior Flap Repair Of Oesophageal Atresia: A 16-Year Evaluation
Authors
KeywordsOesophageal Atresia
Tracheo-Oesophageal Fistula
Issue Date1995
PublisherSpringer Verlag. The Journal's web site is located at http://link.springer.de/link/service/journals/00383/index.htm
Citation
Pediatric Surgery International, 1995, v. 10 n. 8, p. 525-528 How to Cite?
AbstractThe Aim Of The Study Was To Evaluate The Outcome Of Primary Repair Of Oesophageal Atresia (Oa)/Tracheo-Oesophageal (Tof) Using An Anterior Flap From The Upper Pouch To Relieve Tension On The Anastomosis. Of 66 Patients With Oa/Tof Managed In This Institution In The Period 1977-1993, Only 1 (1.5%) Had A Colonic Interposition. There Were 15 (10 Long-Gap Oa) Primary Repairs With An Anterior Flap. Median Follow-Up Was 2 Years (Range 11 Months-16 Years). Complications Included Anastomotic Leaks In 4 (27%), Anastomotic Strictures In 13 (87%), Of Which 2 (13.3%) Required Resection, Gastro-Oesophageal Reflux In 9 (60%), Of Which 3 (20%) Required Fundoplication, Recurrent Tof In 2 (14%), And Oesophageal Incoordination In 6 (40%). Median Hospital Stay Was 77 Days (Range 18-240 Days). There Were 3 Late Deaths (12, 12, 14 Months). Of 12 Survivors, 8 (66.7%) Achieved Normal Growth. In Addition, 3 Patients Had A Myotomy As Well As A Flap (Anastomotic Leak 2, Stricture 3). We Conclude That The Anterior Flap Technique For Repair Of Oa/Tof Reduces The Need For Oesophageal Replacement. There Is Considerable Morbidity Associated With Its Use In These High-Risk Patients, But A Satisfactory Outcome Can Be Achieved In Long-Term Survivors.
Persistent Identifierhttp://hdl.handle.net/10722/220775
ISSN
2015 Impact Factor: 1.01
2015 SCImago Journal Rankings: 0.409
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorBrown, AKen_US
dc.contributor.authorGough, MHen_US
dc.contributor.authorNicholls, Gen_US
dc.contributor.authorTam, PKHen_US
dc.date.accessioned2015-10-19T01:41:21Z-
dc.date.available2015-10-19T01:41:21Z-
dc.date.issued1995-
dc.identifier.citationPediatric Surgery International, 1995, v. 10 n. 8, p. 525-528en_US
dc.identifier.issn0179-0358-
dc.identifier.urihttp://hdl.handle.net/10722/220775-
dc.description.abstractThe Aim Of The Study Was To Evaluate The Outcome Of Primary Repair Of Oesophageal Atresia (Oa)/Tracheo-Oesophageal (Tof) Using An Anterior Flap From The Upper Pouch To Relieve Tension On The Anastomosis. Of 66 Patients With Oa/Tof Managed In This Institution In The Period 1977-1993, Only 1 (1.5%) Had A Colonic Interposition. There Were 15 (10 Long-Gap Oa) Primary Repairs With An Anterior Flap. Median Follow-Up Was 2 Years (Range 11 Months-16 Years). Complications Included Anastomotic Leaks In 4 (27%), Anastomotic Strictures In 13 (87%), Of Which 2 (13.3%) Required Resection, Gastro-Oesophageal Reflux In 9 (60%), Of Which 3 (20%) Required Fundoplication, Recurrent Tof In 2 (14%), And Oesophageal Incoordination In 6 (40%). Median Hospital Stay Was 77 Days (Range 18-240 Days). There Were 3 Late Deaths (12, 12, 14 Months). Of 12 Survivors, 8 (66.7%) Achieved Normal Growth. In Addition, 3 Patients Had A Myotomy As Well As A Flap (Anastomotic Leak 2, Stricture 3). We Conclude That The Anterior Flap Technique For Repair Of Oa/Tof Reduces The Need For Oesophageal Replacement. There Is Considerable Morbidity Associated With Its Use In These High-Risk Patients, But A Satisfactory Outcome Can Be Achieved In Long-Term Survivors.en_US
dc.languageengen_US
dc.publisherSpringer Verlag. The Journal's web site is located at http://link.springer.de/link/service/journals/00383/index.htmen_US
dc.relation.ispartofPediatric Surgery Internationalen_US
dc.subjectOesophageal Atresiaen_US
dc.subjectTracheo-Oesophageal Fistulaen_US
dc.titleAnterior Flap Repair Of Oesophageal Atresia: A 16-Year Evaluationen_US
dc.typeArticleen_US
dc.identifier.emailTam, PKH:paultam@hkucc.hku.hk-
dc.identifier.authorityTam, PKH=rp00060-
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1007/BF00566488-
dc.identifier.scopuseid_2-s2.0-0028846178-
dc.identifier.volume10-
dc.identifier.issue8-
dc.identifier.spage525-
dc.identifier.epage528-
dc.identifier.isiWOS:A1995TG16400006-

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