Esophageal replacement in children by an isoperistaltic gastric tube: a 12-year experience

Pediatric Surgery International
J BorgnonG Audry

Abstract

The colonic segment is the most frequently used material for replacing the esophagus in children; however, the use of a gastric tube has become a reliable alternative operation. Since 1987, we have used an isoperistaltic gastric tube to replace the esophagus in children, and we present a series of 21 patients. Indications for operation included caustic injury (nine), esophageal atresia (eight), peptic stricture (two), congenital stricture (one), and esophageal duplication (one). There was no death or necrosis of the graft during the early postoperative period. The esophagogastric anastomosis leaked in two cases, but both of them closed spontaneously. A temporary dumping syndrome was encountered in two children. Two patients had strictures of their upper anastomosis responding to dilatations. The two patients who had a pharyngogastric anastomosis developed either intractable stricture or nonfunctioning anastomosis. One of them died 9 months later from aspiration pneumonitis. At follow-up, 16 of 21 patients could accept a normal diet (13 were entirely asymptomatic, and three suffered occasional mild dysphagia). Two patients suffered significant dysphagia (one had a durable dilation of his gastric tube), and three needed a feeding...Continue Reading

References

Jun 1, 1979·Annals of Surgery·R W Postlethwait
Jul 1, 1992·Journal of Pediatric Surgery·H LindahlI Louhimo
Apr 1, 1990·Journal of Pediatric Surgery·H LindahlI Louhimo
Jul 1, 1989·The British Journal of Surgery·I M MitchellL D Abrams
May 1, 1988·Journal of Pediatric Surgery·M SaekiH Akiyama
Jan 1, 1987·Journal of Pediatric Surgery·S H EinC A Stephens
Feb 1, 1985·Zeitschrift Für Kinderchirurgie : Organ Der Deutschen, Der Schweizerischen Und Der Osterreichischen Gesellschaft Für Kinderchirurgie = Surgery in Infancy and Childhood·H K GoonA W Middleton
Dec 1, 1985·Journal of Pediatric Surgery·W H Hendren, W G Hendren
Apr 1, 1968·Journal of Pediatric Surgery·J D Burrington, C A Stephens
Aug 1, 1995·Journal of Pediatric Surgery·A P KennedyC W McGill
Jan 1, 1994·Surgical and Radiologic Anatomy : SRA·J ZhangJ P Chevrel
Aug 1, 1993·Journal of Pediatric Surgery·E L CusickR D Spicer
Sep 1, 1996·Journal of Pediatric Surgery·J C PedersenD A Andrews
Jun 1, 1997·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·D K GuptaM Bajpai
Jul 1, 1997·Journal of Pediatric Surgery·R S ChoiW H Hendren
Oct 10, 1998·Journal of Pediatric Surgery·S H Ein
Jan 9, 1999·Pediatric Surgery International·S T Schettini, J Pinus

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Citations

Nov 18, 2008·Indian Journal of Pediatrics·Prema Menon, K L N Rao
Apr 21, 2009·Tissue Engineering. Part C, Methods·Amulya K SaxenaMichael E Höllwarth
May 5, 2010·Journal of Pediatric Surgery·Sathyaprasad BurjonrappaDickens St-Vil
Apr 14, 2010·Journal of Pediatric Surgery·Laurent MichaudFrédéric Gottrand
Apr 8, 2009·Seminars in Pediatric Surgery·Ahmed AbdalwahabJean-Martin Laberge
Feb 4, 2009·Early Human Development·Khalid M KhanJohn E Foker
Apr 4, 2006·The Surgical Clinics of North America·Bindi Naik-Mathuria, Oluyinka O Olutoye
Jan 17, 2008·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·U TannuriS R Cardoso
Jul 27, 2006·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·M F LopesJ Patrício
Jan 28, 2010·The Annals of Thoracic Surgery·Lorna J DunnS Michael Griffin
Nov 15, 2013·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·L J DunnS M Griffin
Jul 2, 2016·Journal of Indian Association of Pediatric Surgeons·Giampiero Soccorso, Dakshesh H Parikh
Sep 7, 2017·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Louise MontalvaArnaud Bonnard
Oct 15, 2008·Journal of Pediatric Gastroenterology and Nutrition·S CoopmanF Gottrand
Jan 19, 2008·Annals of the Royal College of Surgeons of England·G S Arul, D Parikh
Jan 8, 2017·Pediatric Surgery International·Shilpa Sharma, Devendra K Gupta
Jul 12, 2018·World Journal of Pediatrics : WJP·Maja Raicevic, Amulya K Saxena
Mar 10, 2007·Otolaryngologic Clinics of North America·Olga Achildi, Harsh Grewal
Aug 10, 2018·Hormone Research in Pædiatrics·Antonia DastamaniPratik Shah

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