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Total Esophageal Gastric Dissociation for the Failed Antireflux Procedure in a Child with Microgastria
Kengo Hattori1, Bruce Bvulani1, Alp Numanoglu1
1Department of Paediatric Surgery, Red Cross War Memorial Children's Hospital, Cape Town, South Africa; Department of Paediatric Surgery, University of Cape Town, Cape Town, Western Cape, South Africa.
Abstract:
Microgastria is a very rare anomaly characterized by a very small tubular stomach that presents with severe gastroesophageal reflux disease due to the small reservoir capacity of the stomach. We present a patient with microgastria-related reflux and a failed fundoplication who was treated with total esophageal gastric dissociation (TEGD) resulting in an excellent outcome. In our experience with this good long-term result, we would suggest that TEGD be added to the armamentarium of procedures that can be used in the treatment of microgastria.
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