Delayed primary anastomosis in esophageal atresia without fistula. 10 years' experience.

M C Rosinha, J C Silva, J Monteiro, A Souto, B Monteiro

Abstract


From 1984 until 1994 there were 7 cases of newborn with esophageal atresia without fistulae, five of which were treated through primary anastomosis and two of these presented exceptional long gaps. This article is an analysis of these 7 newborns, their post-operative complications and the therapeutics used. Two deaths occurred due to associated serious cardiac pathologies, which made delayed primary anastomosis impossible, and one sudden death four months after the esophageal anastomosis. Three of these cases present a good stature-weight progression and one remains slightly under the 5 percentile. Considering our results, the delayed primary anastomosis in the esophageal atresias with long gap, in spite of the post-operative complications, shall continue to be the author's choice.

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