Magnamosis for esophageal atresia is associated with anastomotic strictures requiring an increased number of dilatations
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In brief
In brief
Comparative study of magnamosis versus conventional surgical repair for esophageal atresia in Canadian pediatric patients. Findings indicate magnamosis technique is associated with higher rates of anastomotic stricture formation requiring increased postoperative dilatations compared to traditional pouch-to-end anastomosis.
Written by the GCMD Library team from the article.
Background/Purpose
Magnamosis is a novel technique which utilizes high power magnets to anastomose the esophageal ends in children with esophageal atresia (EA) with or without a tracheoesophageal fistula (TEF), theoretically avoiding the need for thoracotomy. The objective of this study was to compare anastomotic stricture formation requiring dilatation after magnamosis versus after conventional anastomosis.
Methods
Our center treated the first 3 cases of EA ± TEF with magnamosis in Canada. One was unsuccessful and excluded from our study. The number of postintervention dilatations was compared to controls from our database, which includes all children with EA ± TEF treated between 1991 and 2015. The controls had EA ± TEF treated with pouch-to-end anastomosis or colonic interposition (n = 65). Mann–Whitney U tests were used with p