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Gastric tube esophagoplasty for pediatric esophageal replacement

Mahmoud M A Elfiky1, Gamal El Tagy1, Wissam Mohamed1

  • 1Pediatric Surgery, Faculty of Medicine, Cairo University, Cairo, Egypt.

Journal of Pediatric Surgery
|January 9, 2017
PubMed

Insights

Gastric tube esophagoplasty is a successful surgical option for pediatric esophageal replacement, offering good long-term outcomes for children with esophageal atresia or strictures.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Surgical Reconstruction

Background:

  • Esophageal replacement in children is necessary for conditions like esophageal atresia and corrosive strictures.
  • Failed primary repairs also necessitate esophageal reconstruction.

Purpose of the Study:

  • To evaluate the efficacy of gastric tube esophagoplasty for esophageal replacement in pediatric patients.
  • To assess outcomes and complications associated with this procedure.

Main Methods:

  • Retrospective cohort study of 50 pediatric patients (2011-2015) undergoing gastric tube esophagoplasty.
  • Patients had esophageal atresia (27) or corrosive strictures (23).
  • Both isoperistaltic and antiperistaltic gastric tube techniques were used, with retrosternal and transhiatal routes.

Main Results:

  • Common complications included leakage and stricture.
  • Mortality occurred in 5 cases, primarily due to chest-related issues.
  • Long-term follow-up showed excellent to good results in weight gain, swallowing, quality of life, and patient satisfaction.

Conclusions:

  • Gastric tube esophagoplasty is a satisfactory surgical method for esophageal replacement in children.
  • The procedure yields positive long-term functional and quality-of-life outcomes.
Abstract

Keywords:
Caustic esophageal strictureEsophageal atresiaEsophageal replacementEsophagoplastyGastric tubeLeakage

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