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Related Experiment Video

Updated: Jun 26, 2026

Low-Cost Single-Port (LoCoSP) Device for a Transcervical Approach in Minimally Invasive Transhiatal Esophagectomy
09:04

Low-Cost Single-Port (LoCoSP) Device for a Transcervical Approach in Minimally Invasive Transhiatal Esophagectomy

Published on: September 11, 2021

Gastric transposition in children.

Lewis Spitz1

  • 1Department of Paediatric Surgery, Institute of Child Health, University College London, London, United Kingdom. L.Spitz@ich.ucl.ac.uk

Seminars in Pediatric Surgery
|December 24, 2008
PubMed
Summary
This summary is machine-generated.

Gastric transposition is an effective esophageal replacement in children, showing good long-term function despite a 4.6% mortality and 12% leak rate. This procedure offers a favorable alternative for esophageal substitution.

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Last Updated: Jun 26, 2026

Low-Cost Single-Port (LoCoSP) Device for a Transcervical Approach in Minimally Invasive Transhiatal Esophagectomy
09:04

Low-Cost Single-Port (LoCoSP) Device for a Transcervical Approach in Minimally Invasive Transhiatal Esophagectomy

Published on: September 11, 2021

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Thoracic Surgery

Background:

  • Esophageal atresia, caustic injury, and peptic strictures are common indications for esophageal replacement in children.
  • Gastric transposition is a viable option for esophageal substitution when primary repair fails or in cases of severe esophageal damage.

Purpose of the Study:

  • To evaluate the outcomes of gastric transposition in 192 children who underwent the procedure since 1981.
  • To assess the safety, efficacy, and long-term function of gastric transposition as an esophageal substitute.

Main Methods:

  • A retrospective analysis of 192 children (7 days to 17 years) undergoing gastric transposition for esophageal replacement.
  • Procedures included blunt mediastinal dissection (98 patients), lateral thoracotomy (90 patients), and retrosternal position (4 patients).

Main Results:

  • No graft failures were observed. Anastomotic leaks occurred in 12% and strictures requiring dilation in 20% of patients.
  • Overall mortality was 4.6%. Over 90% of patients experienced good to excellent outcomes with no swallowing difficulties.
  • Long-term follow-up showed no deterioration in gastric transposition function, even after 10 years.

Conclusions:

  • Gastric transposition is an acceptable and effective procedure for esophageal substitution in children.
  • The procedure has a manageable mortality (4.6%) and leak rate (12%), with 20% requiring anastomotic dilation.
  • Gastric transposition demonstrates favorable long-term function and compares well with alternative esophageal replacement methods.