USING OF A DEPAGE-JANEWAY GASTRIC TUBE GASTROSTOMA IN ARTIFITIAL ESOPHAGUS FORMATION AS AN ANTIREFLUX PROTECTION MECHANISM IN CHILDREN WITH ESOPHAGEAL SCAR STRICTURES
https://doi.org/10.21886/2219-8075-2014-2-104-107
Abstract
Purpose: To improve an artificial esophagus function using antireflux properties of modificated Depage-Janeway tube gactrostoma.
Materials and methods: 3 variants of cologastric anastomoses using such a gastric tube were developed and applied in 22 children: “end-to-end” (2), “end of gastric tube - to the colon side” (2) and “colon end - to the gastric tube side” (18).Results: The most acceptable food-passing properties of artificial esophagus were achieved using the third variant of anastomosis. It caused by a wide lumen of anastomosis, which was the same as colon’s graft lumen. After 0.5-1 year since the operation an X-ray examinations were performed and validated a satisfactory antireflux properties of gastric tube as a part of artificial esophagus.
Summary: Not the direct colo-gastric anastomosis, but using the gastric tube Depage-Janeway gastrostoma is the new method to solve the problem of antireflux protection of the graft during esophagoplasty in cases of scar strictures in children
About the Authors
M. G. Chepurnoy
Rostov State Medical University
Russian Federation
Department of Pediatric Surgery and Orthopedics
Russian Federation
Department of Pediatric Surgery and Orthopedics
N. Yu. Shteinberg
Rostov State Medical University
Russian Federation
Department of Pediatric Surgery and Orthopedics
Russian Federation
Department of Pediatric Surgery and Orthopedics
U. V. Lukash
Rostov State Medical University
Russian Federation
Department of Pediatric Surgery and Orthopedics
Russian Federation
Department of Pediatric Surgery and Orthopedics
References
1. Аверин В.И., Нестерук Л.Н., Гриневич Ю.М. Анализ ближайших и отдаленных результатов операций создания искусственного пищевода у детей в детском хирургическом центре Минска с 1992 по 2008 г.//Детская хирургия. -2011. -№ 1. -С. 10-14.
2. Исаков Ю.Ф., Степанов Э.А., Разумовский А.Ю. и др. Искусственный пищевод у детей.//Хирургия. -2003. -№ 7. -С. 6-16.
3. Arul G.S., Parikh D. Oesophageal Replacement in Children.//Ann. R. Coll. Surg. Engl. -2008. -V. 90. -P. 7-12.
4. Разумовский А.Ю., Обыденнова Р.В., Куликова Н.В. и др. Эволюция взглядов на хирургическое лечение детей с химическими ожогами пищевода.//Рос. вестн. дет. хир., анест. и реаниматол. -2011. -№ 1. -С. 51-59.
5. Смирнов А.К., Кожевников В.А., Тен Ю.В. и др. Колоэзофагопластика у детей//Детская хирургия. -2009. -№ 3. -С. 17-19.
6. Mosea F., Stracqualarsi A., Lipari G. et al. Surgical treatment of redundant colon after retrosternal esophagoplasty for caustic esophageal stenosis.//Chir. Ital. -2001. -V.53(1). -P. 89-93.
7. Степанов Э.А., Разумовский А.Ю. Антирефлюксная защита трансплантата при колоэзофагопластике.//Грудная хирургия. -1987. -№ 4. -С. 72-77.
8. Guzzetta P.C., Randolph J.G. Antireflux cologastric anastomosis following colonic interposition for esophageal replacement.//J. Pediatr. Surg. -1986. -V. 21. -P. 1137-1138.
9. Кацупеев В.Б. Однорядный шов в абдоминальных анастомозах у детей старше месячного возраста//Детская хирургия. -2012. -№ 5. -С. 22-25.
Review
For citations:
Chepurnoy M.G., Shteinberg N.Yu., Lukash U.V. USING OF A DEPAGE-JANEWAY GASTRIC TUBE GASTROSTOMA IN ARTIFITIAL ESOPHAGUS FORMATION AS AN ANTIREFLUX PROTECTION MECHANISM IN CHILDREN WITH ESOPHAGEAL SCAR STRICTURES. Medical Herald of the South of Russia. 2014;(2):104-107. (In Russ.) https://doi.org/10.21886/2219-8075-2014-2-104-107
Views:
469
Email this article 