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Early complications of gastric transposition operation

R Ruangtrakool1, L Spitz

  • 1Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
|May 16, 2000
PubMed

Insights

Gastric transposition is a safe and effective procedure for pediatric esophageal replacement, showing low mortality and manageable complications. This method is recommended for children requiring esophageal substitution due to various conditions.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Thoracic Surgery

Background:

  • Esophageal replacement in children is crucial for conditions like esophageal atresia and strictures.
  • Traditional methods carry significant risks and complications.
  • Gastric transposition offers an alternative for esophageal substitution.

Purpose of the Study:

  • To evaluate the safety and efficacy of gastric transposition for esophageal replacement in children.
  • To analyze the types and incidence of complications associated with the procedure.
  • To determine the long-term outcomes of gastric transposition in a pediatric population.

Main Methods:

  • Retrospective analysis of 100 pediatric patients undergoing gastric transposition between 1982 and 1997.
  • Indications included esophageal atresia, caustic strictures, reflux strictures, and other causes.
  • Data collection focused on mortality, morbidity, complications, and functional outcomes.

Main Results:

  • Six mortalities (6%) were recorded.
  • Sixty-five patients (65%) experienced postoperative complications, with respiratory issues being most common in esophageal atresia cases.
  • Swallowing difficulties occurred in 21% of patients; cervical leakage and anastomosis stricture were also noted.

Conclusions:

  • Gastric transposition demonstrates low major life-threatening morbidity and mortality in children.
  • The procedure is considered safe, easy to perform, and preferable for pediatric esophageal replacement.
  • Further research may explore optimizing surgical techniques to minimize specific complications like gastric drainage issues.

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