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首页> 外文期刊>Acta Radiologica >Postoperative appearances of esophageal atresia repair: retrospective study of 210 patients with review of literature - what the radiologist should know.
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Postoperative appearances of esophageal atresia repair: retrospective study of 210 patients with review of literature - what the radiologist should know.

机译：食管闭锁修复的术后表现：回顾性研究210例患者，并复习文献-放射科医生应了解的知识。

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Primary surgical repair forms the definitive treatment of esophageal atresia. Long-term survival rates and patient morbidity after repair still remains a problem especially in developing countries. Postoperative morbidity depends on the incidence of anastomotic leak, gastroesophageal reflux, strictures, and recurrent fistula formation.To describe the frequency of different findings at fluoroscopic evaluation of postoperative esophagus in children following repair for esophageal atresia with or without tracheo-esophageal fistula.Hospital records and upper gastrointestinal contrast studies of 210 patients following repair for esophageal atresia with or without a tracheo-esophageal fistula were reviewed by two pediatric radiologists. All children underwent surgery in the first few days of life (days 1-6). Fluoroscopic contrast study was performed at various intervals after surgery in children with suspected complications or feeding difficulties.Images from upper gastrointestinal contrast studies of 210 patients (126 boys, 84 girls) were evaluated and recorded. Findings were recorded as normal postoperative appearances (37.1%) and complications/sequelae, which included strictures (33.8%), minor and major leaks (11.9%), reflux (13.8%), motility problems (7.1%), persistent fistula (3.8%), diverticulae formation (4.7%), and hiatus hernia (2.1%).Strictures, leaks, and reflux are the most common complications of esophageal atresia repair. Knowledge of various postoperative appearances would be useful for planning an appropriate management strategy in these children.
机译：一次外科手术修复是对食管闭锁的确定性治疗。修复后的长期存活率和患者发病率仍然是一个问题，尤其是在发展中国家。术后发病率取决于吻合口漏，胃食管反流，狭窄和复发性瘘管的发生率，以描述在有或没有气管食管瘘管的食管闭锁修复后对儿童进行食管荧光镜检查评估的不同结果的频率。两名儿科放射科医生对210例有或没有气管食管瘘的食管闭锁修复患者进行了上层和上消化道对比研究。所有儿童在生命的最初几天（第1-6天）都接受了手术。对疑似并发症或进食困难的儿童在术后不同时间进行荧光镜下对比研究，评估并记录210例患者（126例男孩，84例女孩）的上消化道对比研究的图像。记录为术后正常外观（37.1％）和并发症/后遗症，包括狭窄（33.8％），轻微和严重渗漏（11.9％），反流（13.8％），运动性问题（7.1％），持续性瘘管（3.8） ％），憩室形成（4.7％）和裂孔疝（2.1％）。狭窄，渗漏和反流是食管闭锁修复的最常见并发症。了解各种术后外观对于计划在这些儿童中制定适当的治疗策略很有帮助。

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