Esophagoplasty in children: experience of the rspc of pediatric surgery

Objective. The main aim of research is present the results of esophagoplasty in 120 patients with diseases of the esophagus, at the Republican Scientific and Practical Center of Pediatric Surgery were performed from 1992 to 2023.
Materials and methods. The operated patients were assessed to early surgical and non-surgical complications. Longterm results of surgical treatment were studied using general clinical, endoscopic and radiological methods in 109 patients from 5 months to 18 years after esophageal surgery.
Results. The Republican Scientific and Practical Center of Pediatric Surgery performed 770 operations to restore the esophagus in 120 pediatric patients from 1992 to 2023. Most often, esophageal plasty was performed for esophageal atresia (62,5 %) and post-burn scar stenosis of the esophagus (25,8 %).
Among early postoperative complications failure of the cervical anastomosis was more common — 40 cases (32 %). Late surgical complication, such as cicatricial stenosis of the cervical anastomosis of varying severity, was identified in 34 patients (27,2 %). In the late postoperative period distal segment fibrinous-erosive reflux esophagitis of the native esophagus was detected in 10 patients (9,2 %).
Conclusion. Currently, improved techniques for performing operations to restore the esophagus make it possible to create a fully functioning organ, relieving the child of having an ostomy and completely returning him to normal life and social rehabilitation.

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