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Related Concept Videos

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube through...
Enteral Nutrition I: Orogastric and Nasogastric Feeding01:26

Enteral Nutrition I: Orogastric and Nasogastric Feeding

Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Esophageal Achalasia01:27

Esophageal Achalasia

Esophageal achalasia is a chronic neurogenic disorder characterized by impaired relaxation of the lower esophageal sphincter (LES) and absent or ineffective peristalsis in the distal esophagus. This leads to a functional obstruction without a physical blockage, despite significant disruption of esophageal motility.EtiologyAchalasia is caused by degeneration of the myenteric (Auerbach's) plexus, specifically the loss of inhibitory ganglion cells that produce vasoactive intestinal peptide (VIP)...
Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

Peptic Ulcer Disease V: Surgical Management and Nursing Care

Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
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Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
Hiatal Hernia01:25

Hiatal Hernia

A hiatal hernia is the abnormal protrusion of the stomach or other abdominal organs through the esophageal hiatus of the diaphragm into the thoracic cavity.Normally, the gastroesophageal junction (GEJ) lies below the diaphragm and is supported by the phrenoesophageal membrane, the diaphragmatic crura, and connective tissues. Weakening of these structures—due to aging, congenital defects like a short esophagus, or increased intra-abdominal pressure from coughing, obesity, pregnancy, or heavy...

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Related Experiment Video

Updated: May 7, 2026

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

Published on: September 11, 2021

Gastric transposition for oesophageal replacement.

L Spitz1

  • 1Great Ormond Street Hospital for Children, WC1N 3JH, London, UK.

Pediatric Surgery International
|September 24, 2013
PubMed
Summary

Gastric transposition effectively replaces the esophagus in children, with most achieving good growth and outcomes. Oral feeding can be challenging, particularly for infants with esophageal atresia.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Thoracic Surgery

Background:

  • Esophageal replacement is crucial for conditions like esophageal atresia and caustic strictures.
  • Gastric transposition is a common surgical technique for esophageal reconstruction.
  • Outcomes and complications of gastric transposition require ongoing evaluation.

Purpose of the Study:

  • To evaluate the outcomes of gastric transposition for esophageal replacement.
  • To identify complications and challenges associated with the procedure.
  • To assess long-term growth and functional results in patients.

Main Methods:

  • Retrospective review of 83 gastric transposition procedures for esophageal replacement between 1981-1995.
  • Analysis of patient demographics, indications (esophageal atresia, caustic strictures), surgical approach (posterior mediastinal route), and outcomes.

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Low-Cost Single-Port (LoCoSP) Device for a Transcervical Approach in Minimally Invasive Transhiatal Esophagectomy
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Technical Considerations and Approach to Redo Foregut Surgery

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  • Assessment of mortality, anastomotic leaks, strictures, feeding difficulties, and long-term functional results.
  • Main Results:

    • The majority of procedures were for esophageal atresia (56 cases).
    • The posterior mediastinal route without thoracotomy was favored (50 cases).
    • Mortality was 7.2% (6 deaths). Anastomotic leaks and strictures occurred in 12% each, with spontaneous healing and successful dilatation, respectively. Feeding difficulties were common, especially in infants with esophageal atresia not sham-fed.
    • Most patients achieved satisfactory growth, with 64% excellent and 24% satisfactory outcomes at up to 14 years follow-up.

    Conclusions:

    • Gastric transposition is a viable option for esophageal replacement with acceptable medium-term outcomes.
    • Careful patient selection and surgical technique are important for minimizing complications.
    • Addressing feeding challenges, particularly in infants with esophageal atresia, is critical for successful rehabilitation.