J.Jpn. Surg. Soc.. 80(12): 1336-1340, 1979
Report on the annual meeting
THE MANAGEMENT OF ESOPHAGEAL ATRESIA WITH WIDE GAP
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Department of Surgery, National Children's Hospital, Tokyo Hiroshi Akiyama, Toshio Nakajo, Morihiro Saeki, Takashi Ogata, Kohei Hashizume, Kinji Yokomori |
When we performe the stage repair of the esophagus, we usually did the simple elongation by the bouginage, however, it was not always successful. For the C-type of atresia we think the esophageal end-to-end anastmosis should be performed as possible. To this purpose, C-type of atresia with wide gap should be performed specific elongation such as Liverditis or Rehbein reported.
All of the A-type of atresia had wide gap between upper and lower pouch, therefore we could not anastmose primarily. In a few cases, whose gap was less than 5 vertibral distances, esophageal anastmosis after simple elongation was possible. However, many cases of A-type of atresia, who had gap more than 5 vertibral distances was needed to reconstract using another digestive tract. We think that esophageal reconstraction by the jejunal interposition is better than another methods. Our results of this type of reconstraction are good except physical developement.
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