{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T16:21:40Z","timestamp":1789402900003,"version":"build-2803163510"},"reference-count":6,"publisher":null,"issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Anastomotic stricture still a frequent postoperative complication. Its development is multifactorial, nonetheless by improving some factors we can prevent the stricture. Anastomotic technique is among the factors that can be improved to prevent this complication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims and Objectives:<\/jats:title>\n                    <jats:p>Our aim is to report a new technique of anastomosis with a multiple plain suture, wave-like anastomosis and large low traction zone to prevent stricture after esophageal atresia repair. Furthermore this is a self-patient's anatomy dependant technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>A retrospective study reported forty nine esophageal atresia survivals without significant difference in weight and gap length. They were divided in two groups A and B with respectively eighteen and thirty one patients. The wave-like anastomosis technique is used in group A but in the group B an end to end anastomosis was used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>After a mean follow-up of 3 years no patient of the group A presented with anastomotic stricture and eight patients in the group B presented with stricture (p=0,046) so there was a significant difference between the two groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This is a technique providing a multiple plain anastomosis, increasing the lumen in the anastomotic site and helping to prevent anastomotic stricture.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ajps.ajps_123_20","type":"journal-article","created":{"date-parts":[[2024,5,29]],"date-time":"2024-05-29T07:38:58Z","timestamp":1716968338000},"page":"179-181","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["A Wave-Like Anastomosis, a New Technique of Anastomosis to Prevent Stricture after Oesophageal Atresia Repair"],"prefix":"10.67481","volume":"18","author":[{"given":"Mohamed Oulad","family":"Saiad","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":null,"reference":[{"key":"R1-1-20240829","doi-asserted-by":"crossref","first-page":"120","DOI":"10.3389\/fped.2017.00120","article-title":"Anastomotic strictures after esophageal atresia repair: Incidence, investigation, and management, including treatment of refractory and recurrent strictures","volume":"5","author":"Tambucci","year":"2017","journal-title":"Front Pediatr"},{"key":"R2-1-20240829","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1016\/j.jss.2017.04.024","article-title":"Utilizing stricture indices to predict dilation of strictures after esophageal atresia repair","volume":"216","author":"Landisch","year":"2017","journal-title":"J Surg Res"},{"key":"R3-1-20240829","doi-asserted-by":"crossref","first-page":"1402","DOI":"10.1016\/0022-3468(94)90129-5","article-title":"Simple technique for proximal pouch mobilization and circular myotomy in cases of esophageal atresia with tracheoesophageal fistula","volume":"29","author":"Sharma","year":"1994","journal-title":"J Pediatr Surg"},{"key":"R4-1-20240829","first-page":"141","article-title":"Prognosis and treatment of congenital atresia of the oesophagus","volume":"102","author":"Sulamaa","year":"1951","journal-title":"Acta Chir Scand"},{"key":"R5-1-20240829","doi-asserted-by":"crossref","first-page":"527323","DOI":"10.1155\/2011\/527323","article-title":"A new technique in primary repair of congenital esophageal atresia preventing anastomotic stricture formation and describing the opening condition of blind pouch: Plus (\u201c+\u201d) incision","volume":"2011","author":"Melek","year":"2011","journal-title":"Gastroenterol Res Pract"},{"key":"R6-1-20240829","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1007\/s003830100579","article-title":"A new technique of anastomosis to avoid stricture formation in oesophageal atresia","volume":"17","author":"Singh","year":"2001","journal-title":"Pediatr Surg Int"}],"container-title":["African Journal of Paediatric Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.4103\/ajps.AJPS_123_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:49:37Z","timestamp":1782953377000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.4103\/ajps.AJPS_123_20"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10]]},"references-count":6,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.4103\/ajps.ajps_123_20","relation":{},"ISSN":["0189-6725"],"issn-type":[{"value":"0189-6725","type":"print"}],"subject":[],"published":{"date-parts":[[2021,10]]}}}