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Esophageal replacement with whole stomach in infants and children
A Valente1, R J Brereton, A Mackersie
1Department of Surgery, Hospitals for Sick Children, London, England.
Journal of Pediatric Surgery
|October 1, 1987
Insights
This study reports on using the whole stomach to replace the esophagus in ten children undergoing esophageal atresia repair. It highlights potential complications and necessary precautions for this surgical approach.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
Background:
- Esophageal atresia repair in children can be challenging, especially with long gaps or prior surgical failures.
- Alternative reconstructive techniques are essential for complex cases.
Observation:
- This report details a series of ten pediatric patients who underwent esophageal replacement using a whole stomach conduit.
- The stomach was transposed through the chest to reconstruct the esophagus.
Findings:
- The study documents complications encountered, including anastomotic leak and stricture formation.
- Patient morbidity associated with this esophageal substitute procedure is also reported.
Implications:
- The findings underscore the need for meticulous surgical technique and careful patient selection.
- Awareness of potential complications and adherence to specific precautions are crucial for successful outcomes in gastric pull-up procedures.
Abstract:
This is a report of ten patients in whom the esophagus is replaced by the whole stomach brought through the chest. It was used for children with long gap or previously failed esophageal atresia repair. It documents complications (anastomotic leak and stricture) and morbidity, and highlights precautions that must be taken.