Jejunum for bridging long-gap esophageal atresia.

Abstract:

OBJECTIVE:Exploring pros and cons of bridging long-gap esophageal atresia with an orthotopic jejunal pedicle graft. Retrospective series of 19 patients. METHODS:From 1988 through 2005, 19 patients with long-gap esophageal atresia received a jejunal graft. Median age at reconstruction was 76 days. The technique involved an initial right-sided thoracotomy or thoracoscopy to confirm the diagnosis of long-gap esophageal atresia. Through a median laparotomy, a small pediculated jejunal graft was prepared and placed transmesocolically and transhiatally in an orthotopic position in the right chest. RESULTS:All patients survived and none of the grafts were lost. Four intrathoracic and one intraabdominal leak occurred. One intrathoracic and one intraabdominal leak were surgically repaired. One early distal stenosis was reoperated as well. There were always signs of distal functional subobstruction, responding to dilation in all but one patient. Gastroesophageal reflux was not a problem except for one patient whose distal esophagus was eventually resected because of ongoing distal obstruction with dilation of the graft. Except for one patient, all patients are eating normally and most of them grow well. Respiratory problems were rare. Grafts did not become redundant and retained peristaltic activity. CONCLUSION:Orthotopic jejunal pedicle graft reconstruction of the esophagus in children is a demanding operation with considerably early morbidity but good long-term results. It should be part of the pediatric surgical armamentarium for reconstruction of the esophagus.

journal_name

Semin Pediatr Surg

authors

Bax KM

doi

10.1053/j.sempedsurg.2008.10.007

subject

Has Abstract

pub_date

2009-02-01 00:00:00

pages

34-9

issue

1

eissn

1055-8586

issn

1532-9453

pii

S1055-8586(08)00083-8

journal_volume

18

pub_type

杂志文章
  • New tools in the treatment of motility disorders in children.

    abstract::Gastrointestinal motility disorders can develop in neurologically impaired children and those with congenital malformations of the gut. It is characterized by moderate to severe abdominal pain, vomiting, and failure to thrive. Antral dysmotility after fundoplication and increased sympathetic over activity are 2 factor...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2009.07.009

    authors: Carachi R,Currie JM,Steven M

    更新日期:2009-11-01 00:00:00

  • Gene transfer to the tracheobronchial tree: implications for fetal gene therapy for cystic fibrosis.

    abstract::Gene transfer to the tracheobronchial tree has been an active area of investigation since the discovery of the genetic defect in the cystic fibrosis transmembrane conductance regulator over two decades ago. Cystic fibrosis (CF) is the most common lethal monogeneic disorder for which there is no cure short of lung tran...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2003.09.007

    authors: Keswani SG,Crombleholme TM

    更新日期:2004-02-01 00:00:00

  • Laparoscopic fundoplication and gastrostomy.

    abstract::Minimally invasive surgical approaches to various pediatric surgical disease processes are becoming the standard of care. Laparoscopic Nissen fundoplication is transitioning toward the preferred method for the surgical correction of gastroesophageal reflux (GER) disease in infants and children that do not respond to m...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/spsu.2002.35349

    authors: Ostlie DJ,Holcomb GW 3rd

    更新日期:2002-11-01 00:00:00

  • Laparoscopic splenectomy.

    abstract::Splenectomy in childhood usually is required for hematologic disorders such as hereditary spherocytosis, immune thrombocytopenic purpura, or sickle cell disease. The laparoscopic approach for splenectomy in children has been developed and advanced over the past 5 years. New techniques and equipment allow the procedure...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1016/s1055-8586(98)70032-0

    authors: Rescorla FJ

    更新日期:1998-11-01 00:00:00

  • Late effects of treatment in children with cancer.

    abstract::For most children, cancer has become a curable disease. With this increased survival, the late effects of the diagnosis of cancer and its therapy have assumed increased importance for these children. Multiple late effects of essentially all organ systems have been described in selected groups of survivors. These may b...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Neglia JP

    更新日期:1993-02-01 00:00:00

  • The significance of Helicobacter pylori colonization of the stomach.

    abstract::Helicobacter pylori (Hp) was discovered in 1982 by the Australians Robin Warren and Barry Marshall. Initially rejected by a skeptical scientific community, it has since gained worldwide recognition as a clinically significant bacterium. The incidence of colonization with Hp increases with age, affecting approximately ...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Cilley RE,Brighton VK

    更新日期:1995-11-01 00:00:00

  • Congenital diaphragmatic hernia.

    abstract::Congenital diaphragmatic hernia (CDH) is a congenital anomaly consisting of a posterolateral defect in the diaphragm also known as a Bochdalek hernia. It occurs in 1 in 2000 to 3000 newborns and is associated with a variable degree of pulmonary hypoplasia (PH) and persistent pulmonary hypertension (PPH). Despite remar...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2010.03.001

    authors: Keijzer R,Puri P

    更新日期:2010-08-01 00:00:00

  • The Hirschsprungs patient who is soiling after what was considered a "successful" pull-through.

    abstract::After surgery for Hirschsprungs disease, most children thrive, have few if any episodes of abdominal distention and enterocolitis, and are fecally continent. However, there exists a small group of patients who do not do well. Either they suffer from persistent distension and enterocolitis or they experience soiling af...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2012.07.009

    authors: Levitt MA,Dickie B,Peña A

    更新日期:2012-11-01 00:00:00

  • Intestinal innate immunity: how does it relate to the pathogenesis of necrotizing enterocolitis.

    abstract::The pathogenesis of necrotizing enterocolitis (NEC) is poorly understood, but appears to be multifactorial and highly associated with immaturity of the gastrointestinal tract, colonization of the intestinal microbiota, and immature innate immune system. The goal of this review is to provide an overview of some of thes...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2005.05.001

    authors: Neu J,Chen M,Beierle E

    更新日期:2005-08-01 00:00:00

  • Rhabdomyosarcoma.

    abstract::A malignant tumor of striated muscle origin, rhabdomyosarcoma (RMS) is a childhood tumor that has benefited from nearly 30 years of multimodality therapy, culminating in a >70% overall 5-year survival. Prognosis for RMS is dependent on primary tumor site, age, completeness of resection, presence and number of metastat...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2016.09.011

    authors: Dasgupta R,Fuchs J,Rodeberg D

    更新日期:2016-10-01 00:00:00

  • Blunt cerebrovascular injury in children.

    abstract::Blunt cerebrovascular injury in children is an uncommon occurrence that if missed and left untreated can result in devastating long-term neurologic consequences. Diagnosis can be readily obtained by a computed tomographic angiogram of the head and neck. If confirmed, treatment with antithrombotic therapy dramatically ...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2017.01.003

    authors: Fenton SJ,Bollo RJ

    更新日期:2017-02-01 00:00:00

  • Investigation in vomiting children.

    abstract::This article discusses how to investigate various surgical causes of vomiting. Particular emphasis is placed on plain radiographic, ultrasound, and contrast study findings. The article touches upon nineteen different diseases, and encompasses diseases found in neonates to adolescents. ...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2003.08.002

    authors: Maclennan AC

    更新日期:2003-11-01 00:00:00

  • Adhesive small bowel obstruction--acute management and treatment in children.

    abstract::Adhesive small bowel obstruction is a significant cause of short- and long-term morbidity in infants and children. Unfortunately, the majority of scientific literature relative to adhesive obstructions continues to be dominated by adult studies. In this article, the existing literature for infant and pediatric adhesiv...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2014.06.006

    authors: Lautz TB,Barsness KA

    更新日期:2014-12-01 00:00:00

  • Paratubal and tubal abnormalities.

    abstract::The fallopian tubes are the essential genital ducts that convey the female sex cells for fertilization. They are differentiated and detectable early in fetal life. There are numerous paratubal and tubal abnormalities that can occur at any point in the female life. Some of these are rare but may initiate significant mo...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2005.01.009

    authors: Perlman S,Hertweck P,Fallat ME

    更新日期:2005-05-01 00:00:00

  • Congenital tracheobronchial stenosis.

    abstract::Congenital tracheobronchial stenosis is a rare disease characterized by complete tracheal rings that can affect variable lengths of the tracheobronchial tree. It causes high levels of morbidity and mortality both due to the stenosis itself and to the high incidence of other associated congenital malformations. Success...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2016.02.007

    authors: Hewitt RJ,Butler CR,Maughan EF,Elliott MJ

    更新日期:2016-06-01 00:00:00

  • Enhanced recovery after surgery among adolescents undergoing bariatric surgery.

    abstract::Enhanced recovery after surgery (ERAS) has evolved over the past two decades. Originally aimed to standardize care among adults undergoing colorectal surgery, the tenets that developed have since been broadly accepted by a large number of adult surgical subspecialties, including bariatric surgery. This multidisciplina...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.sempedsurg.2020.150885

    authors: Derderian SC,Rove KO

    更新日期:2020-02-01 00:00:00

  • Abdominal wall defects in infants with very low birth weight.

    abstract::Management strategies for infants with very low birth weight (VLBW) who have abdominal wall defects essentially are the same as for those in larger infants. The authors favor primary closure in infants with gastroschisis, and have achieved this goal in 91% of infants since 1985. Treatment of infants with omphalocele i...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/s1055-8586(00)70022-9

    authors: Reynolds M

    更新日期:2000-05-01 00:00:00

  • Modern burn care.

    abstract::In the United States nearly 2 million people are burned every year; about 100,000 burns are moderate to severe and require hospitalization and about 5,000 deaths occur because of burns. The overall improvement in mortality and outcome of patients with severe burn trauma over the last decades can be attributed to the f...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章

    doi:10.1053/spsu.2001.19389

    authors: Herndon DN,Spies M

    更新日期:2001-02-01 00:00:00

  • The necessity for prospective evidence for single-site umbilical laparoscopic surgery.

    abstract::During the past 10 years, the minimally invasive technique has become the standard approach for many thoracic, abdominal, and pelvic procedures in adults and children. We now know there are well-defined benefits to this approach. However, when it was introduced, the laparoscopic technique was quickly adopted without a...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2011.05.008

    authors: St Peter SD,Ostlie DJ

    更新日期:2011-11-01 00:00:00

  • Making sense of the food and drug administration.

    abstract::An examination of and recommendations regarding the approval process for medical devices are presented. The typical pathways and hurdles laid out by the Federal Food and Drug Administration (FDA) are discussed, and options for marketing and use of medical devices are addressed. The first step in the regulatory process...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2006.07.009

    authors: Connor JA

    更新日期:2006-11-01 00:00:00

  • Recent innovations in the management of fecal incontinence.

    abstract::The importance of having a reproducible scoring system to objectively assess the severity of fecal incontinence and its response to treatment is stressed, and a number of methods are described. The approach to conservative treatment and investigation is outlined. Recent advances in the surgical management of fecal inc...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/spsu.2002.31806

    authors: Darakhshan AA,Williams NS

    更新日期:2002-05-01 00:00:00

  • Anesthetic considerations for endoscopic procedures in children.

    abstract::The use of laparoscopic and thoracoscopic procedures in children continues to increase. Thus, anesthesiologists are faced with an increasing number of children for whom anesthetic care is required during these procedures. Significant physiological alterations may occur that are related to patient positioning and the i...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Tobias JD

    更新日期:1993-08-01 00:00:00

  • MIBG in neuroblastoma diagnosis and treatment.

    abstract::Neuroblastoma is a heterogenous disease, with solid tumors arising in the adrenal gland or paraspinal regions in young children. Neuroblastoma is unique, with varied presentation and prognosis based on primary location and tumor stage. Tumor behavior and response to treatment ranges from spontaneous regression to diss...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.sempedsurg.2019.150859

    authors: Olecki E,Grant CN

    更新日期:2019-12-01 00:00:00

  • Fetal surgery for spina bifida: past, present, future.

    abstract::Open spina bifida or myelomeningocele (MMC) is a common birth defect that is associated with significant lifelong morbidity. Little progress has been made in the postnatal surgical management of the child with spina bifida. Postnatal surgery is aimed at covering the exposed spinal cord, preventing infection, and treat...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2012.10.003

    authors: Adzick NS

    更新日期:2013-02-01 00:00:00

  • Overgrowth syndromes with complex vascular anomalies.

    abstract::Management of overgrowth syndromes with complex vascular anomalies is challenging. Careful analysis of the various clinical features by an interdisciplinary team of physicians experienced in this field is paramount to proper diagnostic and therapeutic approaches. In this article, we focus on the spectrum of the clinic...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2014.06.013

    authors: Uller W,Fishman SJ,Alomari AI

    更新日期:2014-08-01 00:00:00

  • Surgical diversion of enterohepatic circulation in pediatric cholestasis.

    abstract::Progressive familial intrahepatic cholestasis (PFIC) and Alagille syndrome (AS) are conditions caused by either an autosomal recessive or an autosomal dominant genetic defect, and they are both characterized by cholestasis, jaundice, and severe debilitating pruritus refractory to medical management. Before the advent ...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.sempedsurg.2020.150946

    authors: Lemoine C,Superina R

    更新日期:2020-08-01 00:00:00

  • Current surgical management of Crohn's disease in childhood.

    abstract::Crohn's disease is a chronic transmural inflammatory disease that may involve any portion of the gastrointestinal tract. It is being reported with increasing frequency in children of all ages. The diagnosis of Crohn's disease in children is dependent on the clinical, radiological, endoscopic, and pathological material...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Telander RL,Schmeling DJ

    更新日期:1994-02-01 00:00:00

  • Long-term outcomes of pediatric intestinal failure.

    abstract::Management of pediatric intestinal failure has evolved in recent decades, with improved survival since the advent of specialized multidisciplinary intestinal failure centers. Though sepsis and intestinal failure associated liver disease still contribute to mortality, we now have growing data on the long-term outcomes ...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2017.09.006

    authors: Fullerton BS,Hong CR,Jaksic T

    更新日期:2017-10-01 00:00:00

  • The pathology of congenital lung lesions.

    abstract::The spectrum of complications associated with congenital lung malformation is wide. They can range from fetal hydrops in utero to postnatal problems of ventilation, obstruction and infection; presentation may occur from the neonatal period to adulthood. Many lesions will remain asymptomatic while at the other end of t...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2015.02.002

    authors: Fowler DJ,Gould SJ

    更新日期:2015-08-01 00:00:00

  • Neonatal cardiovascular physiology.

    abstract::The pediatric surgeon deals with a large number and variety of congenital defects in neonates that frequently involve early surgical intervention and care. Because the neonatal cardiac physiology is unique, starting with the transition from fetal circulation and including differences in calcium metabolism and myocardi...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2013.10.004

    authors: Hines MH

    更新日期:2013-11-01 00:00:00