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- Publisher Website: 10.1007/BF00566488
- Scopus: eid_2-s2.0-0028846178
- WOS: WOS:A1995TG16400006
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Article: Anterior Flap Repair Of Oesophageal Atresia: A 16-Year Evaluation
Title | Anterior Flap Repair Of Oesophageal Atresia: A 16-Year Evaluation |
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Authors | |
Keywords | Oesophageal Atresia Tracheo-Oesophageal Fistula |
Issue Date | 1995 |
Publisher | Springer 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? |
Abstract | The 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 Identifier | http://hdl.handle.net/10722/220775 |
ISSN | 2023 Impact Factor: 1.5 2023 SCImago Journal Rankings: 0.548 |
ISI Accession Number ID |
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Brown, AK | en_US |
dc.contributor.author | Gough, MH | en_US |
dc.contributor.author | Nicholls, G | en_US |
dc.contributor.author | Tam, PKH | en_US |
dc.date.accessioned | 2015-10-19T01:41:21Z | - |
dc.date.available | 2015-10-19T01:41:21Z | - |
dc.date.issued | 1995 | - |
dc.identifier.citation | Pediatric Surgery International, 1995, v. 10 n. 8, p. 525-528 | en_US |
dc.identifier.issn | 0179-0358 | - |
dc.identifier.uri | http://hdl.handle.net/10722/220775 | - |
dc.description.abstract | The 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.language | eng | en_US |
dc.publisher | Springer Verlag. The Journal's web site is located at http://link.springer.de/link/service/journals/00383/index.htm | en_US |
dc.relation.ispartof | Pediatric Surgery International | en_US |
dc.subject | Oesophageal Atresia | en_US |
dc.subject | Tracheo-Oesophageal Fistula | en_US |
dc.title | Anterior Flap Repair Of Oesophageal Atresia: A 16-Year Evaluation | en_US |
dc.type | Article | en_US |
dc.identifier.email | Tam, PKH:paultam@hkucc.hku.hk | - |
dc.identifier.authority | Tam, PKH=rp00060 | - |
dc.description.nature | link_to_subscribed_fulltext | en_US |
dc.identifier.doi | 10.1007/BF00566488 | - |
dc.identifier.scopus | eid_2-s2.0-0028846178 | - |
dc.identifier.volume | 10 | - |
dc.identifier.issue | 8 | - |
dc.identifier.spage | 525 | - |
dc.identifier.epage | 528 | - |
dc.identifier.isi | WOS:A1995TG16400006 | - |
dc.identifier.issnl | 0179-0358 | - |