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[Transhiatal esophagectomy with gastric transposition for esophageal replacement in post-corrosive stricture in

José Estevão-Costa1, Ana Catarina Fragoso, Miguel Campos

  • 1Serviço de Cirurgia Pediátrica, Faculdade de Medicina, Universidade do Porto e Hospital S João EPE, Porto, Portugal.

Acta Medica Portuguesa
|August 2, 2012
PubMed

Insights

Gastric transposition following esophagectomy is a safe and effective esophageal substitution in children with corrosive strictures, showing low morbidity and excellent functional outcomes with no growth or respiratory impairment.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Thoracic Surgery

Context:

  • Corrosive esophageal strictures in children often necessitate esophageal replacement.
  • Gastric transposition is a potential surgical technique for esophageal substitution.
  • Concerns exist regarding the morbidity and functional outcomes of gastric transposition in pediatric patients.

Purpose:

  • To evaluate the morbidity and functional outcomes of gastric transposition in children with extensive post-corrosive esophageal strictures.
  • To assess the safety and efficacy of transhiatal esophagectomy with gastric transposition in pediatric patients.

Summary:

  • A retrospective analysis of six children undergoing transhiatal esophagectomy with gastric transposition for corrosive esophageal strictures was conducted.
  • The procedure demonstrated no mortality and low postoperative complications (hypertensive pneumothorax, pneumonia).
  • With a median follow-up of 50 months, patients showed excellent functional outcomes, with mild dysphagia in two cases resolved by dilation, and no impairment in growth or respiratory function.

Impact:

  • Transhiatal esophagectomy with gastric transposition offers a low-morbidity, high-success rate approach for esophageal substitution in pediatric corrosive strictures.
  • This technique supports normal growth and respiratory function in the short to medium term.
  • Findings support gastric transposition as a viable option for pediatric esophageal replacement, addressing previous concerns about its safety and efficacy.
Abstract

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