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

Abstract

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.

Keywords

• coloesophagoplasty
• neck anastomosis
• children