African Journal of Paediatric Surgery About APSON | PAPSA  
Home About us Editorial Board Current issue Search Archives Ahead Of Print Subscribe Instructions Submission Contact Login 
Users Online: 902Print this page  Email this page Bookmark this page Small font size Default font size Increase font size 
Year : 2021  |  Volume : 18  |  Issue : 4  |  Page : 179-181

A wave-like anastomosis, a new technique of anastomosis to prevent stricture after oesophageal atresia repair

Department of General Pediatric Surgery, Mother and Child Unit, School of Medicine, Mohamed VI University Teaching Hospital, Cadi Ayyad University, Marrakesh, Morocco

Correspondence Address:
Prof. Mohamed Oulad Saiad
Mother and Child Unit, School of Medicine, Mohamed VI University Teaching Hospital, Cadi Ayyad University, Marrakesh
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ajps.AJPS_123_20

Rights and Permissions

Background: Anastomotic stricture still a frequent postoperative complication. Its development is multifactorial, nonetheless by improving some factors we can prevent the stricture. Anastomotic technique is among the factors that can be improved to prevent this complication. Aims and Objectives: Our aim is to report a new technique of anastomosis with a multiple plain suture, wave-like anastomosis and large low traction zone to prevent stricture after esophageal atresia repair. Furthermore this is a self-patient's anatomy dependant technique. Materials and Methods: A retrospective study reported forty nine esophageal atresia survivals without significant difference in weight and gap length. They were divided in two groups A and B with respectively eighteen and thirty one patients. The wave-like anastomosis technique is used in group A but in the group B an end to end anastomosis was used. Results: After a mean follow-up of 3 years no patient of the group A presented with anastomotic stricture and eight patients in the group B presented with stricture (p=0,046) so there was a significant difference between the two groups. Conclusion: This is a technique providing a multiple plain anastomosis, increasing the lumen in the anastomotic site and helping to prevent anastomotic stricture.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded244    
    Comments [Add]    

Recommend this journal