A prospective study in esophageal atresia with tracheoesophageal fistula: Oblique versus circular anastomosis

Authors

  • Vikram Singh Mujalde Department of Pediatric Surgery, SMS Medical College, Jaipur, Rajasthan, India
  • Dinesh kumar Barolia Department of Pediatric Surgery, SMS Medical College, Jaipur, Rajasthan, India
  • Pradeep Gupta Department of Pediatric Surgery, SMS Medical College, Jaipur, Rajasthan, India
  • Sunil Mehra Department of Pediatric Surgery, SMS Medical College, Jaipur, Rajasthan, India
  • Arun Gupta Department of Pediatric Surgery, SMS Medical College, Jaipur, Rajasthan, India

DOI:

https://doi.org/10.18203/2349-2902.isj20181605

Keywords:

Anastomotic technique, Esophageal atresia, Esophageal stricture, Tracheo-esophageal fistula

Abstract

Background: Congenital esophageal atresia with tracheo-esophageal fistula is a common congenital anomaly facing at our centre. There is various proposed anastomotic technique to avoid post-op stricture. In this study we compare outcome of oblique and circular anastomosis technique at our centre.

Methods: This study conducted in 60 cases of congenital esophageal atresia with tracheo-esophageal fistula, designed randomly in two groups. Oblique anastomosis in group A and Circular anastomosis in group B. The complications of anastomotic leaks, anastomotic narrowing with strictures and recurrent fistula were studied.

Results: Anastomotic leak rate in case oblique anastomosis was 6.7% as compared to circular anastomosis was 16.7%. Stricture formation in oblique anastomosis was 13.3% in comparison to circular anastomosis there was 43.3% stricture formation. None of the cases required re-exploration in Oblique anastomosis, whereas two (6.7%) cases required re-exploration in circular anastomosis.

Conclusions: Present study showed that oblique anastomotic technique is superior to circular anastomotic technique, in term of less stricture and leak rate.

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Published

2018-04-21

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Original Research Articles