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Gastric transposition for esophageal replacement in children
Annals of Surgery
|July 1, 1987
Summary
Total gastric transposition effectively replaced the esophagus in 34 infants, primarily those with esophageal atresia. This surgical approach demonstrated a 9% mortality rate and a high rate of excellent or good outcomes, comparing favorably to colon interposition.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Thoracic Surgery
Background:
- Esophageal atresia is a congenital condition requiring surgical intervention.
- Esophageal replacement is a critical procedure for infants with long-gap esophageal atresia.
- Total gastric transposition is a surgical technique for esophageal reconstruction.
Purpose of the Study:
- To evaluate the outcomes of total gastric transposition in infants.
- To assess the efficacy and complications of this esophageal replacement method.
- To compare results with historical data, such as colon interposition.
Main Methods:
- Retrospective analysis of 34 infant cases undergoing total gastric transposition.
- Data collection on mortality, early and late postoperative complications, and long-term outcomes.
- Surgical technique involved total gastric transposition for esophageal replacement.
Main Results:
- Mortality rate was 9% (3 deaths), with two early and one late death.
- 14 infants (41%) had uncomplicated courses.
- 24 infants (71%) achieved excellent or good results, with 4 minor feeding issues and 2 fair outcomes.
Conclusions:
- Total gastric transposition is a viable option for esophageal replacement in infants.
- The procedure is associated with a manageable complication profile and favorable long-term outcomes.
- Results suggest this technique is a competitive alternative to colon interposition for esophageal reconstruction.