食道閉鎖症の長期遠隔成績(I 主要疾患の遠隔成績, 25周年記念シンポジウム論文)

概要

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The result of over ten years follow up studies in 302 cases of esophageal atresia (including 30 cases in National Childen's Hospital) which were obtained by questionair from 52 institutions in our country were shown in this paper. In this series, two longest survivors reached the age of 27 years and 44 cases reached the age of more than 20 years. For long term period, hights and body weights in many postoperative patients of this disease were found under mean values of development of Japanese children. Especialy, in cases with A type of Atresia or esophageal reconstruction using other digestive tract, postoperative developments were markedly poorer than those in cases with C-type of atresia and primary surgery. Postperative thoracic deformity in this disease is most frequent problem. This diformity was found in 30% of postoperative patients. Passage disturbance of esophagus and recurrent respiratory sign were found in about 15% of all patients. These problems were not shown tendency of improvement through patients life. Social life in postoperative patients is contented result except for few cases. In cases with long gap atresia which could not undergo esophago-esophago stomy, jejunal interposition is satisfactory procedure in spite of complications of dysfunction of lower part of esophagus and stricture in site of lower esophageal anastomosis from our long term results.
日本小児外科学会の論文
1989-10-20