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Complications after gastric transposition in children
D J Macksood1, C E Blane, R A Drongowski
1Department of Pediatric Radiology, University of Michigan Medical Center, C.S. Mott Children's Hospital, Ann Arbor 48109-0252, USA.
Summary
Pediatric patients undergoing esophagogastrostomy with gastric transposition for esophageal atresia experienced fewer complications than adults. Benign stricture was the most frequent issue, occurring early and late post-surgery.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
- Congenital Abnormalities
Background:
- Esophagogastrostomy with gastric transposition is increasingly utilized for esophageal atresia repair in children.
- Limited data exists comparing postoperative complications in pediatric versus adult populations.
Purpose of the Study:
- To compare the incidence and types of postoperative complications in children who underwent esophagogastrostomy with gastric transposition for esophageal atresia against those reported in adult literature.
Main Methods:
- Retrospective review of medical records and radiologic images for 6 pediatric patients (5 male, 1 female) who had esophagogastrostomy with gastric transposition.
- Follow-up duration ranged from 18 months to 12 years.
- Complications were compared with published adult data.
Main Results:
- Complications were categorized as early (≤1 month) or late (>1 month).
- Observed complications included anastomotic leak (1 patient), hernia (1 patient), and recurrent stricture (3 patients).
- One patient developed a mediastinal abscess due to esophageal perforation during stricture dilation.
Conclusions:
- Postoperative complications following gastric transposition are less frequent in children compared to adults.
- Benign stricture represents the most common complication, with potential for both early and late onset.