Wang Yaqi,Li Wanfu,Wang Haiyun.Current status and research advances of surgical approaches for long-gap esophageal atresia[J].Journal of Clinical Pediatric Surgery,,20():1143-1148.[doi:10.12260/lcxewkzz.2021.12.008]
Current status and research advances of surgical approaches for long-gap esophageal atresia
- Keywords:
- Esophageal Atresia/CN; Esophageal Atresia/SU; Surgical Procedures; Operative; Intraoperative Complications; Postoperative Complications
- CLC:
- R571;R726.1
- Abstract:
- Congenital esophageal atresia (EA) is one of critical diseases of digestive tract during neonatal period.With wider applications of neonatal surgery, pediatric anesthesia, neonatal monitoring and total parenteral nutrition (TPN), its curative rate is rising yearly.Currently reducing its postoperative complications has become a new research focus.Long-gap esophageal atresia (LGEA) an independent risk factor of anastomotic fistula, esophageal stricture and gastroesophageal reflux.Consensus is lacking on its definition, evaluations and surgical approaches.And its treatment remains challenging.Summarizing the latest status and recent research advances of surgical approaches for LGEA, this review aimed to provide practical references for surgeons to select appropriate surgical approaches to reduce postoperative complications.
References:
1 Van der zee DC, Bagolan P, Faure C, et al.Position paper of inoea working group on long-gap esophageal atresia:for better care[J].Frontiers in Pediatrics, 2017, 5:63.DOI:10.3389/fped.2017.00063.
2 Dingemann C, Eaton S, Aksnes G, et al.Ernica consensus conference on the management of patients with long-gap esophageal atresia:perioperative, surgical, and long-term management[J].Eur J Pediatr Surg, 2021, 31(3):214-225.DOI:10.1055/s-0040-1713932.
3 Ganske IM, Firriolo JM, Nuzzi LC, et al.Double supercharged jejunal interposition for late salvage of long-gap esophageal atresia[J].Ann Plast Surg, 2018, 81(5):553-559.DOI:10.1097/SAP.0000000000001520.
4 Lieber J, Schmidt A, Kumpf M, et al.Functional outcome after laparoscopic assisted gastric transposition including pyloric dilatation in long-gap esophageal atresia[J].J Pediatr Surg, 2020, 55(11):2335-2341.DOI:10.1016/j.jpedsurg.2020.06.004.
5 Zimmer J, Eaton S, Murchison LE, et al.State of play:eight decades of surgery for esophageal atresia[J].Eur J Pediatr Surg, 2019, 29(1):39-48.DOI:10.1055/s-0038-1668150.
6 Youn J, Park T, Kim S, et al.Prospective evaluation of clinical outcomes and quality of life after gastric tube interposition as esophageal reconstruction in children[J].Medicine, 2018, 97(52):e13801.DOI:10.1097/MD.0000000000013801.
7 Liu J, Yang Y, Zheng C, et al.Surgical outcomes of different approaches to esophageal replacement in long-gap esophageal atresia:a systematic review[J].Medicine, 2017, 96(21):e6942.DOI:10.1097/MD.0000000000006942.
8 Garritano S, Irino T, Scandavini C, et al.Long-term functional outcomes after replacement of the esophagus in pediatric patients:a systematic literature review[J].J Pediatr Surg, 2017, 52(9):1398-1408.DOI:10.1016/j.jpedsurg.2017.05.034.
9 Baird R, Lal DR, Ricca RL, et al.Management of long gap esophageal atresia:a systematic review and evidence-based guidelines from the apsa outcomes and evidence based practice committee[J].J Pediatr Surg, 2019, 54(4):675-687.DOI:10.1016/j.jpedsurg.2018.12.019.
10 Puri P, Blake N, O’donnell B, et al.Delayed primary anastomosis following spontaneous growth of esophageal segments in esophageal atresia[J].J Pediatr Surg, 1981, 16(2):180-183.DOI:10.1016/s0022-3468(81)80347-8.
11 Puri P, Ninan GK, Blake NS, et al.Delayed primary anastomosis for esophageal atresia:18 months’ to 11 years’ follow-up[J].J Pediatr Surg, 1992, 27(8):1127-1130.DOI:10.1016/0022-3468(92)90573-p.
12 Beger B, Beger O.A new esophageal elongation technique for long-gap esophageal atresia:in vitro comparison of myotomy techniques[J].Esophagus, 2019, 16(1):93-97.DOI:10.1007/s10388-018-0636-6.
13 Singh A, Bajpai M, Sharma N, et al.Experience with livaditis circular myotomy in management of long gap TEF[J].Afr J Paediatr Surg, 2014, 11(1):35-38.DOI:10.4103/0189-6725.129212.
14 孙苏娜, 王俊.长段缺失型食管闭锁的诊治现状与进展[J].临床小儿外科杂志, 2018, 17(3):190-196.DOI:10.3969/j.issn.1671-6353.2018.03.007. Sun SN, Wang J.Current status and future perspectives of diagnosing and treating long gap esophageal atresia[J].J Clin Ped Sur, 2018, 17(3):190-196.DOI:10.3969/j.issn.1671-6353.2018.03.007.
15 Sroka M, Wachowiak R, Losin M, et al.The foker technique (ft) and kimura advancement (ka) for the treatment of children with long-gap esophageal atresia (lgea):lessons learned at two european centers[J].Eur J Pediatr Surg, 2013, 23(1):3-7.DOI:10.1055/s-0033-1333891.
16 Abraham MK, Sudarsanan B, Viswanath N, et al.A safer way of suturing in Foker’s technique[J].J Pediatr Surg, 2013, 48(8):1819-1821.DOI:10.1016/j.jpedsurg.2013.03.052.
17 van der zee DC, Gallo G, Tytgat SH.Thoracoscopic traction technique in long gap esophageal atresia:entering a new era[J].Surg Endosc, 2015, 29(11):3324-3330.DOI:10.1007/s00464-015-4091-3.
18 Janek K, Meagher D, Goodwin C.Suture fistula revisited for long gap esophageal atresia[J].J Pediatr Surg, 2019, 54(3):600-603.DOI:10.1016/j.jpedsurg.2018.10.100.
19 Chumfong I, Lee H, Padilla B, et al.Esophagoesophagopexy technique for assisted fistulization of esophageal atresia[J].Pediatr Surg Int, 2018, 34(1):63-69.DOI:10.1007/s00383-017-4164-6.
20 Sun S, Pan W, Wu W, et al.Elongation of esophageal segments by bougienage stretching technique for long gap esophageal atresia to achieve delayed primary anastomosis by thoracotomy or thoracoscopic repair:a first experience from china[J].J Pediatr Surg, 2018, 53(8):1584-1587.DOI:10.1016/j.jpedsurg.2017.12.009.
21 Liu S, Lv Y, Fang Y, et al.Magnetic compression for anastomosis in treating an infant born with long-gap oesophageal atresia:a case report[J].Medicine, 2020, 99(42):e22472.DOI:10.1097/MD.0000000000022472.
22 刘仕琪, 吕毅.磁吻合技术治疗先天性长段食管闭锁与吻合口狭窄新进展[J].临床小儿外科杂志, 2019, 18(6):447-449, 455.DOI:10.3969/j.issn.1671-6353.2019.06.003. Liu SQ, Lv Y.Recent advances of magnetic compression anastomosis technique for esophageal atresia and anastomotic strictures[J].J Clin Ped Sur, 2019, 18(6):447-449, 455.DOI:10.3969/j.issn.1671-6353.2019.06.003.
23 Noh M, Mooney DP, Trumper DL.Magnet-assisted hydraulic bougienage for correction of long-gap esophageal atresia[J].IEEE Trans Biomed Eng, 2018, 65(10):2178-2189.DOI:10.1109/TBME.2017.2786733.
24 Slater BJ, Borobia P, Lovvorn HN, et al.Use of magnets as a minimally invasive approach for anastomosis in esophageal atresia:long-term outcomes[J].J Laparoendosc Adv Surg Tech A, 2019, 29(10):1202-1206.DOI:10.1089/lap.2019.0199.
25 Dorman RM, Vali K, Harmon CM, et al.Repair of esophageal atresia with proximal fistula using endoscopic magnetic compression anastomosis (magnamosis) after staged lengthening[J].Pediatr Surg Int, 2016, 32(5):525-528.DOI:10.1007/s00383-016-3889-y.
26 Hirschl RB, Yardeni D, Oldham K, et al.Gastric transposition for esophageal replacement in children:experience with 41 consecutive cases with special emphasis on esophageal atresia[J].Ann Surg, 2002, 236(4):531-539.DOI:10.1097/01.SLA.0000030752.45065.D1.
27 Spitz L, Kiely E, Pierro A.Gastric transposition in children-a 21-year experience[J].J Pediatr Surg, 2004, 39(3):276-281.DOI:10.1016/j.jpedsurg.2003.11.032.
28 Castle SL, Isani M, Torres MB, et al.Tubularized gastric conduit is more desirable in pediatric patients treated with minimally invasive esophagectomy and gastric pull-up[J].J Laparoendosc Adv Surg Tech A, 2017, 27(4):427-429.DOI:10.1089/lap.2016.0510.
29 Hannon E, Eaton S, Curry JI, et al.Outcomes in adulthood of gastric transposition for complex and long gap esophageal atresia[J].J Pediatr Surg, 2020, 55(4):639-645.DOI:10.1016/j.jpedsurg.2019.08.012.
30 Subhasis RC, Rajiv C, Kumar SA, et al.Surgical treatment of massive splenomegaly and severe hypersplenism secondary to extrahepatic portal venous obstruction in children[J].Surgery Today, 2007, 37(1):19-23.DOI:10.007/s00595-006-3333-3.
31 Chen HC, Rampazzo A, Gharb BB, et al.Motility differences in free colon and free jejunum flaps for reconstruction of the cervical esophagus[J].Plast Reconstr Surg, 2008, 122(5):1410-1416.DOI:10.1097/PRS.0b013e31818820f4.
32 Bax KM.Jejunum for bridging long-gap esophageal atresia[J].Semin Pediatr Surg, 2009, 18(1):34-39.DOI:10.1053/j.sempedsurg.2008.10.007.
33 Platt E, Mcnally J, Cusick E.Pedicled jejunal interposition for long gap esophageal atresia[J].J Pediatr Surg, 2019, 54(8):1557-1562.DOI:10.1016/j.jpedsurg.2018.10.108.
34 Swisher SG, Hofstetter WL, Miller MJ.The supercharged microvascular jejunal interposition[J].Semin Thorac Cardiovasc Surg, 2007, 19(1):56-65.DOI:10.1053/j.semtcvs.2006.11.003.
35 Ascioti AJ, Hofstetter WL, Miller MJ, et al.Long-segment, supercharged, pedicled jejunal flap for total esophageal reconstruction[J].J Thorac Cardiovasc Surg, 2005, 130(5):1391-1398.DOI:10.1016/j.jtcvs.2005.06.032.
36 Firriolo JM, Nuzzi LC, Ganske IM, et al.Supercharged jejunal interposition:a reliable esophageal replacement in pediatric patients[J].Plast Reconstr Surg, 2019, 143(6):1266-1276.DOI:10.1097/PRS.0000000000005649.
37 Chávez-Aguilar AH, Silva-Báez H, Sánchez-Rodríguez YB, et al.Early complications with colon esophageal substitution for children via retrosternal[J].Gac Med Mex, 2015, 151(3):323-328.
38 Hartin CW Jr, Escobar MA, Yamout SZ, et al.Stapled tapering coloplasty to manage colon interposition graft redundancy for long-gap esophageal atresia[J].J Pediatr Surg, 2008, 43(12):2311-2314.DOI:10.1016/j.jpedsurg.2008.08.030.
39 Coopman S, Michaud L, Halna-Tamine M, et al.Long-term outcome of colon interposition after esophagectomy in children[J].J Pediatr Gastroenterol Nutr, 2008, 47(4):458-462.DOI:10.1097/MPG.0b013e31815ce55c.
40 Abouzeid AA, Zaki AM, Safoury HS.Posterior cologastric anastomosis:an effective antireflux mechanism in colonic replacement of the esophagus[J].Ann Thorac Surg, 2016, 101(1):266-273.DOI:10.1016/j.athoracsur.2015.06.074.
41 Marks JL, Hofstetter WL.Esophageal reconstruction with alternative conduits[J].Surg Clin North Am, 2012, 92(5):1287-1297.DOI:10.1016/j.suc.2012.07.006.
42 Elfiky MM, El tagy G, Mohamed W, et al.Gastric tube esophagoplasty for pediatric esophageal replacement[J].J Pediatr Surg, 2017, 52(4):657-662.DOI:10.1016/j.jpedsurg.2016.12.012.
43 Atwell JD, Harrison GS.Observations on the role of esophagogastrostomy in infancy and childhood with particular reference to the long-term results and operative mortality[J].J Pediatr Surg, 1980, 15(3):303-309.DOI:10.1016/s0022-3468(80)80142-4.
44 Postlethwait RW.Technique for isoperistaltic gastric tube for esophageal bypass[J].Ann Surg, 1979, 189(6):673-676.DOI:10.1097/00000658-197906000-00001.
45 Lindahl H, Rintala R, Sariola H, et al.Cervical Barrett’s esophagus:a common complication of gastric tube reconstruction[J].J Pediatr Surg, 1990, 25(4):446-448.DOI:10.1016/0022-3468(90)90391-l.
46 Lee E, Milan A, Urbani L, et al.Decellularized material as scaffolds for tissue engineering studies in long gap esophageal atresia[J].Expert Opin Biol Ther, 2017, 17(5):573-584.DOI:10.1080/14712598.2017.1308482.
47 Diemer P, Markoew S, Le DQ, et al.Poly-ε-caprolactone mesh as a scaffold for in vivo tissue engineering in rabbit esophagus[J].Dis Esophagus, 2015, 28(3):240-245.DOI:10.1111/dote.12172.
48 Mao AS, Mooney DJ.Regenerative medicine:current therapies and future directions[J].Proc Natl Acad Sci USA, 2015, 112(47):14452-14459.DOI:10.1073/pnas.1508520112.
49 Bozkurt A, Groger A, O’dey D, et al.Retrospective analysis of tissue expansion in reconstructive burn surgery:evaluation of complication rates[J].Burns, 2008, 34(8):1113-1118.DOI:10.1016/j.burns.2008.05.008.
50 Damian DD, Price K, Arabagi S, et al.In vivo tissue regeneration with robotic implants[J].Science Robotics, 2018, 3(14):eaaq0018.DOI:10.1126/scirobotics.aaq0018.
51 Rossi C, Dòmini M, Aquino A, et al.A Simple and safe method to visualize the inferior pouch in esophageal atresia without fistula[J].Pediatr Surg Int, 1998, 13(7):535-536.DOI:10.1007/s003830050395.
52 Hamza AF, Abdelhay S, Sherif H, et al.Caustic esophageal strictures in children:30 years’ experience[J].J Pediatr Surg, 2003, 38(6):828-833.DOI:10.1016/s0022-3468(03)00105-2.
Memo
收稿日期:2021-03-10。
基金项目:自治区区域协同创新专项（科技援疆计划）（编号：2020E0267）
通讯作者:李万富,Email:3429393610@qq.com