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Year : 2017  |  Volume : 14  |  Issue : 2  |  Page : 34-36

Reoperation of Anastomotic Stricture after Oesophageal Atresia Repair: An Uncommon Event

1 Department of Pediatric Surgery, Teaching Hospital of Treichville, 01BPV03 Abidjan 01, Côte d'Ivoire
2 Department of Pediatric Surgery, Teaching Hospital of Treichville, 01BPV03 Abidjan 01; FELIX HOUPHOUET-BOIGNY, University of Abidjan, Côte d'Ivoire

Correspondence Address:
Dr. A L Azakpa
Department of Paediatric Surgery, Teaching Hospital of Treichville, 09 BP2051 Abidjan 09
Côte d'Ivoire
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ajps.AJPS_62_15

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Oesophageal atresia is a common malformation in which the survival rate in developed countries is around 90%, while its mortality remains very high in developing countries. Oesophageal stricture post-oesophageal atresia repair is traditionally treated by non-surgical approach. However, surgical resection of the oesophageal stricture may be necessary after the failure of dilations. We report one case of refractory oesophageal stricture post-EA repair in a 3-year-old girl, who underwent oesophageal atresia Type III repair at 11-day-old. We performed an end-to-end oesophageal anastomosis with tracheal oesophageal fistula closure by extra-pleural approach. The patient was lost to follow-up for 3 years. She was seen later for anastomotic oesophageal stricture with the failure of oesophageal dilatations. Surgical resection of oesophageal stricture was performed with end-to-end oesophageal anastomosis.

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