SURGICAL MANAGEMENT STRATEGIES FOR ESOPHAGEAL ATRESIA WITHOUT TRACHEOESOPHAGEAL FISTULA IN NEONATES
Keywords:
Keywords: Esophageal atresia, tracheoesophageal fistula, pure esophageal atresia, neonatal surgery, congenital esophageal anomaly, surgical management, thoracic surgery, delayed anastomosis, primary anastomosis, postoperative careAbstract
Annotation: This article explores the selection of surgical treatment strategies for congenital esophageal atresia without tracheoesophageal fistula in children—one of the most complex and severe forms of esophageal malformations in neonates. This condition poses significant diagnostic challenges, presents with critical clinical symptoms, and necessitates urgent surgical intervention. The study analyzes various clinical presentations, preoperative diagnostic methods, general condition assessments, and the development of individualized surgical plans tailored to each patient. Special emphasis is placed on thoracic surgical approaches, the use of minimally invasive techniques, gastrostomy, primary versus delayed anastomosis, as well as postoperative care and long-term outcomes. The conclusion underscores that proper selection of the surgical method plays a crucial role in improving survival rates and enhancing the overall quality of life for affected children.
References
1. Spitz, L. (2007). Oesophageal atresia. Orphanet Journal of Rare Diseases, 2(1), 24. https://doi.org/10.1186/1750-1172-2-24
2. Foker, J. E., Linden, B. C., Boyle, E. M., & Marquardt, C. (1997). Development of a true primary repair for the full spectrum of esophageal atresia. Annals of Surgery, 226(4), 533–541. https://doi.org/10.1097/00000658-199710000-00011
3. Kimura, K., Soper, R. T., & Kimura, S. (1994). Esophageal elongation with traction sutures in the treatment of long-gap esophageal atresia. Journal of Pediatric Surgery, 29(9), 1205–1207.
4. Myers, N. A., & Morgan, A. S. (1983). Esophageal replacement in children: current status. Progress in Pediatric Surgery, 16, 96–115.
5. Tovar, J. A., & Fragoso, A. C. (2013). Current controversies in the surgical management of esophageal atresia and tracheoesophageal fistula. World Journal of Gastroenterology, 19(30), 4813–4820. https://doi.org/10.3748/wjg.v19.i30.4813
6. Harmon, C. M., & Coran, A. G. (2009). Congenital anomalies of the esophagus. In A. G. Coran (Ed.), Pediatric Surgery (7th ed., pp. 1051–1071). Elsevier Saunders.
7. Bhatnagar, V. (2012). Long gap esophageal atresia: An Indian experience. Journal of Neonatal Surgery, 1(3), 36. https://doi.org/10.21699/jns.v1i3.100
8. Ein, S. H., & Shandling, B. (1984). The long gap esophageal atresia—The case for delayed primary anastomosis. Journal of Pediatric Surgery, 19(3), 313–316.
9. Leva, E., Macchini, F., Duci, M., & Morandi, A. (2015). Esophageal atresia: full spectrum management in a single center. European Journal of Pediatric Surgery, 25(02), 123–129. https://doi.org/10.1055/s-0034-1387930
10. Zani, A., & Pierro, A. (2010). Esophageal replacement in children: Past and present. Journal of Pediatric Surgery, 45(1), 206–210.