Total gastric transposition is better than partial gastric tube esophagoplasty for esophageal replacement in children

Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus
U TannuriS R Cardoso

Abstract

Whenever the surgeon uses the stomach as an esophageal substitute, either one of two techniques is generally performed: total gastric transposition or gastric tube esophagoplasty. No existing reports compare the complications associated with these two surgical procedures. The purpose of this study is to review the authors' experience with total gastric transposition and verify whether this technique is superior to gastric tube esophagoplasty in children by comparing the main complications with those reported in the publications of gastric tubes esophagoplasties in the English language literature published in the last 38 years. A total of 35 children underwent total gastric transposition according to the classical technique. Most of these patients (27, or 77.1%) had long gap esophageal atresia. The most frequently observed complications were compared to those reported in nine studies of gastric tube esophagoplasty comprising 184 patients. Mortality and graft failure rates were also compared. Seven patients (20.0%) presented with leaks, all of which closed spontaneously. Six children were reoperated, three experienced gastric outlet obstruction secondary to axial torsion of the stomach placed in the retrosternal space and the oth...Continue Reading

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Citations

Mar 18, 2017·Expert Opinion on Biological Therapy·Esmond LeeMark W Lowdell
Aug 12, 2017·Journal of Paediatrics and Child Health·Karim Awad, Bruce Jaffray
Dec 18, 2010·Bulletin of Experimental Biology and Medicine·G A LapiiA V Kutepov
Jun 16, 2010·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·U Tannuri, A C A Tannuri
May 29, 2020·Tissue Engineering. Part a·Gokhan GundogduJoshua R Mauney

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