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The article discusses the causes of the development and prevention of gastrointestinal reflux in the early period after colonic retrosternal plasty of the esophagus in the newborns and infants. The mechanism of reflux linked with flotation of pleural sacs in the retrosternal tunnel, producing a pumping effect, is described. As a preventive measure the authors recommend postponing the cervical anastomosis for 12-14 days and forming a narrow retrosternal tuppel for the graft. Operations were conducted on 15 children, 3 of them died, one from massive reflux, aspiration, and asphyxia.
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