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. 2015 Jul-Sep;28(3):161-2.
doi: 10.1590/S0102-67202015000300003.

Evaluation of risk factors affecting anastomotic leakage after repair of esophageal atresia

[Article in English, Portuguese]
Shahnam Askarpour  1 , Mehran Peyvasteh  1 , Hazhir Javaherizadeh  1 , Nasim Askari  1
Affiliations

Evaluation of risk factors affecting anastomotic leakage after repair of esophageal atresia

[Article in English, Portuguese]
Shahnam Askarpour et al. Arq Bras Cir Dig. 2015 Jul-Sep.

Abstract
in English, Portuguese

Background: Anastomotic leak are reported among neonates who underwent esophageal atresia.

Aim: To find risk factors of anastomotic leakage in patients underwent esophageal repair.

Methods: All cases with esophageal atresia were included. In this case control study, patients were classified in two groups according to presence or absence of anastomotic leaks. Duration of study was 10 years.

Results: Sixty-one cases were included. Mean±SD age at time of surgery in patients with leakage and without leakage was 9.50±7.25 and 8.83±6.93 respectively (p=.670). Blood transfusion and two layer anastomosis had significant correlation with anastomotic leakage.

Conclusion: Blood transfusion and double layer anastomosis are associated with higher rate of anastomotic leakage.

Racional:: Fístulas são relatadas entre os recém-nascidos que foram submetidos à reparação de atresia de esôfago.

Objetivo:: Encontrar fatores de risco de deiscência de anastomose nos pacientes submetidos à correção cirúrgica do esôfago.

Métodos:: Todos os casos com atresia de esôfago foram incluídos. Neste estudo caso-controle, os pacientes foram classificados em dois grupos de acordo com a presença ou ausência de fístula. Duração do estudo foi de 10 anos.

Resultados:: Sessenta e um casos foram incluídos. A média±DP da idade no momento da operação em pacientes com deiscência e sem foi 9,50±7,25 e 8,83±6,93, respectivamente (p=0,670). Transfusão de sangue e duas camadas anastomose tiveram correlação significativa com a deiscência da anastomose.

Conclusão:: Transfusão de sangue e anastomose em dois planos estão associadas com maior taxa de deiscência.

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Conflict of interest statement

Conflicts of interest: none

References

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