PMID: 8943110Nov 1, 1996Paper

Experience with distal circular myotomy for long-gap esophageal atresia

Journal of Pediatric Surgery
J Y LaiC C Chen

Abstract

From 1980 to 1994, the authors treated 65 cases of esophageal atresia (with or without tracheoesophageal fistula). Among these patients, 15 (23%) underwent pure proximal circular myotomies and five (8%) underwent both proximal and distal circular myotomies. Of the latter five cases, three were Gross type C and two were Gross type A. The gap ranged from 4.5 cm to 6.5 cm (mean, 5 cm). Surgical complications in these five patients included two anastomotic leaks (40%), one anastomotic stricture (20%), and four gastroesophageal refluxes (80%). Three patients eventually underwent fundoplication as an antireflux procedure. Mucosal outpouching was noted in all cases. The myotomy did not adversely affect the esophageal peristalsis and motility on the esophagogram. Esophageal function was similar to that of other children who had esophageal atresia without myotomy. All patients could eat food typical for their age. This limited experience suggests that distal circular myotomy might be a safe adjuvant procedure to achieve primary anastomosis in long-gap esophageal atresia.

References

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Citations

Oct 22, 2003·Archives of Medical Research·Fernando Villegas-AlvarezIgnacio Méndez-Ramírez
Jul 16, 2011·International Journal of General Medicine·Saeid AslanabadiMohammadali M Shoja
Apr 15, 2008·Journal of Pediatric Surgery·Saud Al-Shanafey, John Harvey
Oct 21, 2015·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Steven S Rothenberg, Alan W Flake
Sep 1, 2007·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·M F Lopes, M F Botelho
Dec 30, 2015·African Journal of Paediatric Surgery : AJPS·Ibrahim UygunSelcuk Otcu
May 31, 2001·Journal of Pediatric Surgery·M A GiacomoniA Giacomoni
Sep 17, 1999·Revista do Hospital das Clínicas·U TannuriA A Massaguer
Aug 14, 2018·Esophagus : Official Journal of the Japan Esophageal Society·Burhan Beger, Orhan Beger
Jan 4, 2020·Journal of Indian Association of Pediatric Surgeons·Vipul Prakash BotharaShiv Narain Kureel
Sep 17, 2019·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Bethany J SlaterMario Zaritzky

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