Department of Pediatric Surgery, Dicle University Faculty of Medicine, Diyarbakır-Turkey.
Ulus Travma Acil Cerrahi Derg. 2020 Nov;26(6):927-931. doi: 10.14744/tjtes.2020.17745.
In this study, we aimed to present the results of patients treated for esophageal leakage with a different conservative approach.
Ninety-eight patients with esophageal atresia and tracheoesophageal fistula (EA) who underwent surgery in our clinic between February 2013 and January 2018 were retrospectively reviewed in this study. Patients' anastomosis leakage, gestational week, gender, body weight, referral date, recovery time and stenosis were recorded. After leakage detection, the nasogastric catheter was fluoroscopically converted into a nasojejunal catheter using a guidewire and feeding continued.
Anastomotic leakage developed in 18 (18.3%) patients. The average gestational age at birth was 35.4 weeks; the patients included ten girls and eight boys of average weight 2.41 kg; the average referral period was 2.1 days after birth and the average time of surgery was 2.4 days after birth. The average recovery time was 21.1 days (range: 8-60 days). Eight patients developed stenosis that recovered with dilatation.
Our findings suggest that our conservative treatment approach, which uses a nasojejunal catheter, is an effective method that would reduce complications, enable earlier feeding, and reduce the cost compared to other treatment approaches.
在这项研究中，我们旨在展示采用不同保守方法治疗食管漏的患者的结果。
本研究回顾性分析了 2013 年 2 月至 2018 年 1 月在我院接受手术治疗的 98 例食管闭锁和气管食管瘘（EA）患者。记录了患者的吻合口漏、妊娠周数、性别、体重、就诊日期、恢复时间和狭窄情况。在发现漏口后，通过导丝将鼻胃管透视下转换为鼻空肠管，并继续进行喂养。
18 例（18.3%）患者发生吻合口漏。出生时的平均胎龄为 35.4 周；患者中包括 10 名女孩和 8 名男孩，平均体重为 2.41kg；平均就诊时间为生后 2.1 天，平均手术时间为生后 2.4 天。平均恢复时间为 21.1 天（范围：8-60 天）。8 例患者发生狭窄，经扩张后恢复。
我们的研究结果表明，与其他治疗方法相比，使用鼻空肠管的保守治疗方法是一种有效的方法，可以减少并发症，更早开始喂养，并降低成本。
