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Constant magnetic field in treating congenital esophageal and anorectal malformation: a review
World Journal of Pediatric Surgery Pub Date : 2020-06-01 , DOI: 10.1136/wjps-2020-000130
Shiqi Liu 1 , Yi Lv 2
Affiliation  

Background Congenital esophageal and anorectal malformation are common in neonates. Refractory esophageal anastomotic stricture and abnormal defecation after surgical correction in infants are challenging surgical problems. Magnetic compression anastomosis (MCA) using mated magnets with their interposed compressed tissue may result in serosa-to-serosa apposition. Data sources A literature search was performed to establish an algorithm for these accidents by the authors to identify relevant articles published from 1977 to 2019 in Google, Medline, ISI Web of Knowledge Ovid, CNKI and library document delivery, using search terms “magnetics”, “esophageal malformation”, “anorectal” and “perforation”. A total of 24 literatures were collected. Results Magnamosis is technically feasible for alimentary tract anastomoses in pediatric patients. The magnets are most commonly made of neodymium–iron–boron and samarium–cobalt alloys, which have been employed to create solid anastomosis for long-gap esophageal atresia and refractory esophageal stricture without thoracotomy in children in recent years. Furthermore, magnamosis can be used for the functional undiversion of ileostomy. In anorectal malformations with favorable anatomy, this procedure may avoid an operative repair such as posterior sagittal reconstruction. Conclusion Translumenal anastomosis of digestive tract using the MCA is a reliable, minimally invasive and feasible method to treat congenital esophageal and anorectal malformation.

中文翻译:

恒磁场治疗先天性食管肛门直肠畸形:综述

背景 先天性食管和肛门直肠畸形在新生儿中很常见。婴幼儿手术矫正后难治性食管吻合口狭窄和排便异常是具有挑战性的手术难题。使用配对磁铁及其插入的压缩组织的磁压缩吻合术 (MCA) 可能会导致浆膜与浆膜并置。数据来源 作者进行了文献搜索以建立针对这些事故的算法,以识别 1977 年至 2019 年在 Google、Medline、ISI Web of Knowledge Ovid、CNKI 和图书馆文档交付中发表的相关文章,使用搜索词“magnetics”, “食管畸形”、“肛肠”和“穿孔”。共收录文献24篇。结果 Magnamosis 对于儿科患者的消化道吻合术在技术上是可行的。磁体最常用的材料是钕铁硼和钐钴合金,近年来已被用于小儿长间隙食管闭锁和难治性食管狭窄的不开胸固体吻合。此外,magnamosis 可用于回肠造口术的功能性转移。在具有有利解剖结构的肛门直肠畸形中,该手术可以避免手术修复,例如后矢状面重建。结论 MCA经腔内消化道吻合术治疗先天性食管肛门直肠畸形是一种可靠、微创、可行的方法。近年应用于小儿长间隙食管闭锁及难治性食管狭窄不开胸的牢固吻合。此外,magnamosis 可用于回肠造口术的功能性转移。在具有有利解剖结构的肛门直肠畸形中,该手术可以避免手术修复,例如后矢状面重建。结论 MCA经腔内消化道吻合术治疗先天性食管肛门直肠畸形是一种可靠、微创、可行的方法。近年应用于小儿长间隙食管闭锁及难治性食管狭窄不开胸的牢固吻合。此外,magnamosis 可用于回肠造口术的功能性转移。在具有有利解剖结构的肛门直肠畸形中,该手术可以避免手术修复,例如后矢状面重建。结论 MCA经腔内消化道吻合术治疗先天性食管肛门直肠畸形是一种可靠、微创、可行的方法。
更新日期:2020-06-01
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