Indian Journal of Surgery

, Volume 77, Supplement 2, pp 543–545 | Cite as

Evaluating Necessity of Azygos Vein Ligation in Primary Repair of Esophageal Atresia

Original Article
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Abstract

Surgery has dramatically improved survival of infants with esophageal atresia. However, early and late complications of these surgeries affect the future life of this population. A probable step toward minimizing such complications is through modifying the technique of surgery. We evaluated two groups of esophageal atresia undergoing surgery with two different techniques including preservation and ligation of the Azygos vein and compared early complications, duration of surgery, and hospital and neonatal intensive care unit (NICU) stay between them. A total number of 24 patients with mean age of 24 to 48 h, who were diagnosed with esophageal atresia, were included in the study. All cases were randomly allocated in two groups: group A (case group) in which patients underwent surgery with preservation of the Azygos vein and group B (control group) in which patients underwent the former surgical method with ligation of the Azygos vein. Incidence of early complications, duration of surgery, and NICU and hospital stay were compared between the two groups. None of the complications occurred in either group. Duration of surgery, NICU stay, and hospital stay were not statistically significant between the groups. Preserving the Azygos vein during esophageal atresia surgery is probably a good modification of the classic technique.

Keywords

Azygos vein Esophageal atresia Ligation 

References

  1. 1.
    Goyal A, Jones MO, Couriel JM, Losty PD (2006) Oesophageal atresia and tracheo–oesophageal fistula. Arch Dis Child Fetal Neonatal Ed 91:381–384CrossRefGoogle Scholar
  2. 2.
    Spitz L (2007) Oesophageal atresia. Orphanet J Rare Dis 2:24PubMedPubMedCentralCrossRefGoogle Scholar
  3. 3.
    Foker JE, Linden BC, Boyle EM Jr, Marquardt C (1997) Development of a true primary repair for the full spectrum of esophageal atresia. Ann Surg 226:533–543PubMedPubMedCentralCrossRefGoogle Scholar
  4. 4.
    Karnak I, Senocak ME, Hiçsönmez A, Büyükpamukçu N (1997) The diagnosis and treatment of H-type tracheoesophageal fistula. J Pediatr Surg 32:1670–1674PubMedCrossRefGoogle Scholar
  5. 5.
    Spitz L (2006) Esophageal atresia. Lessons I have learned in a 40-year experience. J Pediatr Surg 41:1635–1640PubMedCrossRefGoogle Scholar
  6. 6.
    Konkin DE, O’Hali WA, Webber EM, Blair K (2003) Outcomes in esophageal atresia and tracheoesophageal fistula. J Pediatr Surg 38:1726–1729PubMedCrossRefGoogle Scholar
  7. 7.
    Tomaselli V, Volpi ML, Dell'Agnola CA, Bini M, Rossi A, Indriolo A (2003) Long-term evaluation of esophageal function in patients treated at birth for esophageal atresia. Pediatr Surg Int 19:40–43PubMedGoogle Scholar
  8. 8.
    Little DC, Rescorla FJ, Grosfeld JL, West KW, Scherer LR, Engum SA (2003) Long-term analysis of children with esophageal atresia and tracheoesophageal fistula. J Pediatr Surg 38:852–856PubMedCrossRefGoogle Scholar
  9. 9.
    Sistonen SJ, Pakarinen MP, Rintala RJ (2011) Long-term results of esophageal atresia: Helsinki experience and review of literature. Pediatr Surg Int 27:1141–1149PubMedCrossRefGoogle Scholar
  10. 10.
    Sharma S, Sinha SK, Rawat JD, Wakhlu A, Kureel SN, Tandon R (2007) Azygos vein preservation in primary repair of esophageal atresia with tracheoesophageal fistula. Pediatr Surg Int 23:1215–1218PubMedCrossRefGoogle Scholar
  11. 11.
    Upadhyaya VD, Gangopadhyaya AN, Gopal SC et al (2007) Is ligation of azygos vein necessary in primary repair of tracheoesophageal fistula with esophageal atresia? Eur J Pediatr Surg 17:236–240PubMedCrossRefGoogle Scholar
  12. 12.
    Zamboni P, Galeotti R, Weinstock-Guttman B, Kennedy C, Salvi F, Zivadinov R (2012) Venous angioplasty in patients with multiple sclerosis: results of a pilot study. Eur J Vasc Endovasc Surg 43:116–122PubMedCrossRefGoogle Scholar
  13. 13.
    Zamboni P, Galeotti R, Menegatti E et al (2009) Chronic cerebrospinal venous insufficiency in patients with multiple sclerosis. J Neurol Neurosurg Psychiatry 80:392–399PubMedPubMedCentralCrossRefGoogle Scholar
  14. 14.
    Simka M, Latacz P, Ludyga T et al (2011) Prevalence of extracranial venous abnormalities: results from a sample of 586 multiple sclerosis patients. Funct Neurol 26:197–203PubMedPubMedCentralGoogle Scholar
  15. 15.
    Kinottenbelt G, Skinner A, Seefelder C (2010) Tracheo-oesophageal fistula (TOF) and oesophageal atresia (OA). Best Pract Res Clin Anaesthesiol 24:387–401PubMedCrossRefGoogle Scholar
  16. 16.
    Zivadinov R, Marr K, Cutter G et al (2011) Prevalence, sensitivity, and specificity of chronic cerebrospinal venous insufficiency in MS. Neurology 77:138–144PubMedCrossRefGoogle Scholar
  17. 17.
    Al-Omari MH, Rousan LA (2010) Internal jugular vein morphology and hemodynamics in patients with multiple sclerosis. Int Angiol 29:115–120PubMedGoogle Scholar
  18. 18.
    Simka M, Kostecki J, Zaniewski M, Majewski E, Hartel M (2010) Extracranial Doppler sonographic criteria of chronic cerebrospinal venous insufficiency in the patients with multiple sclerosis. Int Angiol 29:109–114PubMedGoogle Scholar
  19. 19.
    Doepp F, Paul F, Valdueza JM, Schmierer K, Schreiber SJ (2010) No cerebrocervical venous congestion in patients with multiple sclerosis. Ann Neurol 68:173–183PubMedCrossRefGoogle Scholar
  20. 20.
    Baracchini C, Perini P, Calabrese M, Causin F, Rinaldi F, Gallo P (2011) No evidence of chronic cerebrospinal venous insufficiency at multiple sclerosis onset. Ann Neurol 69:90–99PubMedCrossRefGoogle Scholar

Copyright information

© Association of Surgeons of India 2013

Authors and Affiliations

  1. 1.Department of Anesthesia, Faculty of MedicineMashhad University of Medical SciencesMashhadIran
  2. 2.Department of Surgery, Faculty of MedicineMashhad University of Medical SciencesMashhadIran
  3. 3.Farzan Clinical Research InstituteTehranIran
  4. 4.MashhadIran

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