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[Routine gastrostomy in esophageal atresia].

G Brandesky1

  • 1Kinderchirurgische Abteilung des Landeskrankenhauses Klagenfurt.

Zeitschrift Fur Kinderchirurgie : Organ Der Deutschen, Der Schweizerischen Und Der Osterreichischen Gesellschaft Fur Kinderchirurgie = Surgery in Infancy and Childhood
|October 1, 1989
PubMed
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Routine gastrostomy with primary anastomosis for esophageal atresia is safe and effective. This approach minimizes gastro-esophageal reflux and avoids the need for antireflux surgery in most pediatric patients.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Esophageal Motility Disorders

Context:

  • Esophageal atresia (EA) treatment often involves complex surgical repair.
  • Gastro-esophageal reflux (GER) is a common postoperative complication.
  • Antireflux surgery is sometimes considered for EA patients.

Purpose:

  • To evaluate the long-term outcomes of routine gastrostomy and primary anastomosis in EA patients.
  • To assess the incidence of GER and related complications in this cohort.
  • To determine the necessity of antireflux surgery in EA management.

Summary:

  • A 25-year study followed 71 survivors of EA treated with primary anastomosis and gastrostomy.
  • Most patients remained symptom-free, with GER detected in only 3 cases, none requiring intervention.

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  • Oesophageal motility disorders were common but did not necessitate antireflux procedures.

    • Impact:

    • Routine gastrostomy is a viable strategy for EA, reducing GER and the need for antireflux surgery.
    • Conservative management of motility disorders and GER is effective postoperatively.
    • This approach offers a safe and successful alternative in EA treatment.