SIMPLIFIED METHOD OF ANTIREFLUX PROTECTION OF THE GRAFT AFTER ESOPHAGOPLASTY IN CHILDREN WITH ESOPHAGEAL ATRESIA

Abstract

Purpose: To improve the esophagoplasty results in children with esophageal atresia by the new method of abdominal colo- esophageal anastomosis.Materials and methods: A new way of using an abdominal esophageal part as a part of artificial esophagus in case of colic esophagoplasty was developed and applied in 16 patients with esopha-geal atresia. Before it all the children were undergone the double esophagostomy according to G.A. Bairov. The abdominal anastomosis was performed by seeming in the end of the colon graft to the lateral part of the esophageal abdominal segment.Results: The X-ray examenation of the new-made esophagus showed a good and an excellent food- passing function of the new esophagus in all the patients during the prolonged observation.Summary: Using of the abdominal esophageal segment as a part of artificial colon esophagus must be considered a fundamentally new method to provide for an antireflux protection of the graft, because of the natural esophageal antireflux mehanism, so the special antireflux operations can be excluded.