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Laparoscopic-assisted transhiatal gastric transposition for long gap esophageal atresia in an infant
Ryan M Juza1, Marjorie J Arca, John C Densmore
1Division of Pediatric Surgery, Medical College of Wisconsin, Milwaukee, WI 53226, USA. rjuza@mcw.edu
Insights
Laparoscopic-assisted gastric transposition in infants with long gap esophageal atresia (LGEA) can be performed earlier. This earlier intervention may reduce hospital stays and feeding issues.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
- Minimally Invasive Surgery
Background:
- Long gap esophageal atresia (LGEA) typically requires surgical intervention.
- Previous laparoscopic-assisted transhiatal gastric transposition (LATG) reports focused on older infants.
- Early intervention in LGEA may prevent complications like esophagostomies and prolonged nasoesophageal intubation.
Observation:
- This report details the surgical technique for LATG in a 56-day-old infant.
- The infant was a former 36-week premature baby with LGEA.
- The procedure was performed at a significantly earlier age than previously reported.
Findings:
- Performing LATG at an earlier age is feasible.
- Early intervention may lead to shorter hospitalizations.
- Earlier oral feeding introduction can mitigate feeding difficulties and oral aversion.
Implications:
- This technique offers a potential benefit for managing LGEA in neonates.
- Earlier surgical correction may improve long-term feeding outcomes.
- Further studies are warranted to confirm the benefits of early LATG.
Abstract:
Previous reports describing laparoscopic-assisted transhiatal gastric transposition for long gap esophageal atresia (LGEA) have focused on older infants (median age of 11 months). By performing this operation at an earlier age, patients may avoid esophagostomies or prolonged hospitalizations with nasoesophageal tubes. An additional benefit is the earlier introduction of oral feeds, which is likely to decrease the incidence of oral aversion and feeding difficulties. In this report, we describe our surgical technique for performing a laparoscopic-assisted gastric transposition in a 56-day-old former 36-week premature infant with LGEA.
