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Complications following gastric tube esophagoplasty in children
G S Aprodu1, B Savu, Simona Gavrilescu
1Pediatric Surgery Department, School of Medicine, Gr.T. Popa University of Medicine and Pharmacy, Iaşi.
Insights
Gastric tube esophagoplasty is a surgical option for children with esophageal issues. This study found good to very good results in 83% of cases, despite some complications.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Esophageal Reconstruction
Background:
- Esophageal disorders in children, including caustic burns and atresia, necessitate reconstructive surgery.
- Gastric tube esophagoplasty, utilizing the Gavriliu technique, is a viable surgical approach.
Observation:
- A retrospective review of 41 gastric tube esophagoplasty procedures performed between 1991 and 1999.
- The study focused on outcomes and complications associated with this technique in pediatric patients.
Findings:
- The Gavriliu technique for gastric tube esophagoplasty yielded good or very good results in 83% of pediatric cases.
- Significant complications occurred in 13 cases, with 4 resulting in mortality (exitus).
Implications:
- Gastric tube esophagoplasty demonstrates a high success rate for pediatric esophageal reconstruction.
- Understanding and managing potential complications are crucial for optimizing patient outcomes in esophageal surgery.
Abstract:
Surgery in children with caustic esophageal burns, esophageal atresia or other esophageal disorders can be performed using gastric tube esophagoplasty. Between 1991 and 1999, a number of 41 such procedures have been performed in our department, using the original technique developed by Gavriliu. The results were assessed as good and very good in 83% of the cases, and fair or bad in the rest of 17%. We recorded 13 cases with significant complications, 4 of which ended with exitus. The paper present our experience in using gastric tube esophagoplasty and the management of the complications related to this procedure.
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