Proceedings of the Conference on Health and Wellbeing in Modern Society (CHW 2021)

Complications After Esophageal Anastomosis in Newborns

Authors
V. A. Savvina1, 2, *, Yu. P. Pavlyukova1, A. Yu. Tarasov2
1M.K. Ammosov North-Eastern Federal University, Yakutsk, Russia
2Republican Hospital No. 1 National Center of Medicine, Yakutsk, Russia
*Corresponding author. Email: va.savvina@s-vfu.ru
Corresponding Author
V. A. Savvina
Available Online 17 January 2022.
DOI
10.2991/ahsr.k.220103.039How to use a DOI?
Keywords
esophageal atresia; newborns; primary anastomosis; complications
Abstract

Esophageal atresia is a congenital anomaly in which the oral end of the esophagus ends in a pouch. Its frequency is 1 in 2500–4500 newborns. Esophageal atresia is considered a complex malformation; the results of its treatment are used to judge the level of surgical care provided by the medical institution. With this malformation, the operation of choice is to perform a primary esophageal anastomosis. Primary anastomosis may be accompanied by severe early and late complications, such as anastomotic leakage, recurrent tracheo-esophageal fistula, esophageal stenosis, the development of reflux esophagitis, etc. However, according to many authors, large diastasis between the segments of the esophagus, concomitant anomalies and body weight less than 1,500 g are obstacles for primary anastomosis. In such situations, the implementation of a delayed esophageal anastomosis or replacement of the esophagus with a large intestine or stomach is recommended. Currently, with the introduction of thoracoscopically performed esophageal anastomosis in newborns, there is an improvement in the results of treatment with esophageal atresia. According to the authors, approximately 75 % of operations for esophageal atresia can be performed thoracoscopically with good results. Progress in thoracoscopic treatment of esophageal defect has significantly improved the quality of life of children after surgical correction of the anomaly.

Copyright
© 2022 The Authors. Published by Atlantis Press International B.V.
Open Access
This is an open access article under the CC BY-NC license.

Download article (PDF)

Volume Title
Proceedings of the Conference on Health and Wellbeing in Modern Society (CHW 2021)
Series
Advances in Health Sciences Research
Publication Date
17 January 2022
ISBN
978-94-6239-513-8
ISSN
2468-5739
DOI
10.2991/ahsr.k.220103.039How to use a DOI?
Copyright
© 2022 The Authors. Published by Atlantis Press International B.V.
Open Access
This is an open access article under the CC BY-NC license.

Cite this article

TY  - CONF
AU  - V. A. Savvina
AU  - Yu. P. Pavlyukova
AU  - A. Yu. Tarasov
PY  - 2022
DA  - 2022/01/17
TI  - Complications After Esophageal Anastomosis in Newborns
BT  - Proceedings of the Conference on Health and Wellbeing in Modern Society (CHW 2021)
PB  - Atlantis Press
SP  - 194
EP  - 198
SN  - 2468-5739
UR  - https://doi.org/10.2991/ahsr.k.220103.039
DO  - 10.2991/ahsr.k.220103.039
ID  - Savvina2022
ER  -