ОBVIATION OF DIASTASIS BETWEEN COLON END AND ESOPHAGUS DURING THE NECK ANASTOMOSIS FORMATION IN CASE OF ESOPHAGOPLASTY IN CHILDREN WITH ESOPHAGEAL ATRESIA

• Published in: Medicinskij vestnik Ûga Rossii no. 2; pp. 100 - 103
• Main Authors: M. G. Chepurnoy, Y. V. Khoron’ko, E. G. Makletsov
• Format: Journal Article
• Language: English
• Published: State Budget Educational Institute of Higher Professional Education, Rostov State Medical University, Ministry Health of Russian Federation 01.06.2014
• Subjects: children; coloesophagoplasty; neck anastomosis
• ISSN: 2219-8075; 2618-7876
• DOI: 10.21886/2219-8075-2014-2-100-103

Purpose: To improve coloesophagoplasty outcomes in children with esophageal atresia when diastasis between the colon and neck part of esophagus came to 3.0 cm by lengthening the last one.Materials and Methods: A new method of esophagomyotomy using only longitudinal muscle fibers dissection was developed experimentally. This method was applied to perform an esophagoplasty in 3 children with primary-made double esophagostomy. The “end-to-end” esophagocoloanastomosis and presternum resections were made in all cases.Results: Keeping the circulatory muscle layer intact allows to avoid submucosal vessel’s damage, esophageal diverticula’s formation and to facilitate surgeon’s work, to decrease a period of operation. Two neck anastomoses were healed without fistula’s formation, one girl developed anastomosis inconsistency, so separation of anastomosis was made for a 6-month period with followed-up raconsruction.Summary: The neck part of esophagus elongation using Livaditis-Kimura esophagomyotomy in cases of coloesophagoplasty in children with esophageal atresia can be used as alternative method to eliminate diastasis between ends of colon and esophagus up to 3.0 cm.