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01-10-2015 | Original Article

Impact of an external lengthening procedure on the outcome of long-gap esophageal atresia at our hospitals

Authors: Kyoko Mochizuki, Masato Shinkai, Hiroshi Take, Norihiko Kitagawa, Hidehito Usui, Hisayuki Miyagi, Kaori Nakamura, Masayuki Obatake

Published in: Pediatric Surgery International | Issue 10/2015

Abstract

Purpose

To demonstrate the outcome of external lengthening for long-gap esophageal atresia (LGEA) at our hospitals.

Methods

Five patients with LGEA underwent external lengthening between 2010 and 2014 (group A), and 11 patients with LGEA underwent other lengthening techniques between 1990 and 2011 (group B). We compared the procedure and outcome between these two groups.

Results

The mean birth weight was 2001 g in group A and 2485 g in group B (p = 0.06). The mean age at esophageal reconstruction was 28 days in group A and 227 days in group B (p = 0.03). Although primary esophageal anastomosis without myotomy was feasible in all patients in group A, a myotomy was needed for primary esophageal anastomosis in half of the patients in group B. Anastomotic leakage occurred in none in group A and in six patients in group B (p = 0.03). The mean age at the establishment of full oral feeding was 76 days in group A and 686 days in group B (p = 0.009).

Conclusion

External traction for LGEA can effectively lengthen the esophagus to enable primary anastomosis at an earlier age. This may facilitate oral intake.

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Title: Impact of an external lengthening procedure on the outcome of long-gap esophageal atresia at our hospitals
Authors: Kyoko Mochizuki
Masato Shinkai
Hiroshi Take
Norihiko Kitagawa
Hidehito Usui
Hisayuki Miyagi
Kaori Nakamura
Masayuki Obatake
Publication date: 01-10-2015
Publisher: Springer Berlin Heidelberg
Published in: Pediatric Surgery International / Issue 10/2015
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-015-3772-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Impact of an external lengthening procedure on the outcome of long-gap esophageal atresia at our hospitals

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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