Özefagus Atrezisi: Tek Cerrah, Tek Merkez Deneyimi ve Sonuçları

Amaç: Çocuk cerrahisi kliniklerinin indeks vakalarından biri olan özefagus atrezisi halen ayrı bir öneme sahiptir. Başarılı sonuçlar için multidisipliner yaklaşım, donanımlı bir klinik ve cerrahi tecrübe gerekir. Sıklıkla büyük eğitim hastanelerinde tedavileri yapılsa da, donanımlı özel hastanelerde de başarılı sonuçlar alınabileceğini göstermek istedik. Materyal ve Metot: Geriye dönük gözlem olarak planlanan çalışma için, 2007 ve 2017 yılları arasında kliniğimizde özefagus atrezisi tanısı konulmuş ve tedavisi yapılmış, hastalar çalışmaya dahil edildi. Sonuçlar: Toplam 29 hasta çalışmaya dahil edildi. 29 hastanın 28’sinde primer anastomoz yapılabildi. Ortalama takip süresi 48,5 ay olarak bulundu. Tüm grupta sağkalım oranı %89,6 olarak saptandı. Anastomoz kaçağı olan hastaların oranı %17,8 olarak bulunurken, anastomoz darlığı hastaların %50’sinde saptandı. Çalışmaya dahil edilen 29 yenidoğanın 17’si erkek %58,6 ve 12’si kızdı %41,4 . Ortalama gestasyonel yaş 36,2±2,4 olarak saptanırken, ortalama ağırlık 2470±687 gram olarak bulundu. Çok düşük doğum ağırlığı

Esophageal Atresia: Single Surgeon, Single Center Experience and Results

Objective: Esophageal atresia, one of the index cases of pediatric surgery clinics, is still of particular importance. A multidisciplinary approach, a well-equipped clinic and surgical experience are required for successful results. Although it is often done in large training hospitals, we aimed to show that satisfactory results can be obtained in any specialized hospital.Material and Method: Medical records of infants with repaired esophageal atresia from 2007 to 2017 were reviewed.Results: A total of 29 patients were included in the study. The primary anastomosis was performed in 28 of 29 patients. The median follow-up was 48.5 months. The overall survival rate was 89.6%. Incidence of anastomotic leakage was 17.8%, anastomotic stricture 50% 33.3% within the first year . Recurrent fistula and vocal cord paresis were not revealed. Trans-anastomotic stent and chest drain were routinely used. The mean gestational age was found to be 36.2±2.4 and the mean weight was 2470±687 grams. There were 4 patients with very low birth weight

Keywords:

Esophageal atresia Tracheoesophageal fistula,

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