Magnamosis for esophageal atresia is associated with anastomotic strictures requiring an increased number of dilatations

Space: StayCurrentMD Author: Emma Wolfe, Mazen Zidane, Betty Jean Hancock, Suyin A. Lum Min, Mario Zaritzky, Richard Keijzer Published:

Author / Expert

Emma Wolfe, Mazen Zidane, Betty Jean Hancock, Suyin A. Lum Min, Mario Zaritzky, Richard Keijzer

Topic overview

Abstract

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 

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