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[Correction of subtotal esophageal aplasias and extensive artificial esophageal defects by gastric transposition]
1Kinderchirurgische Klinik, Dr. von Haunerschen Kinderspital der Universität München.
Insights
Gastric transposition successfully treated esophageal defects in three children with aplasia or destruction. All patients experienced normal development and esophageal passage after the procedure.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
- Thoracic Surgery
Background:
- Subtotal esophageal defects present significant challenges in pediatric patients.
- Congenital esophageal anomalies like aplasia or acquired destruction require effective surgical solutions.
Abstract:
The successful treatment of subtotal oesphageal defects by means of gastric transposition in three children is reported. Two children had a subtotal oesophageal aplasia, one a complete destruction of more than half of the thoracic oesophagus. In two cases the stomach was transposed into the physiological oesophageal bed, in the third the stomach was pulled retrosternally to the cervical region via the anterior mediastinum. All three children developed normally following gastric transposition. Normal oesphageal passage was confirmed radiologically.