Transhiatal gastric transposition of a long gap esophageal atresia.

Abstract:

:Transhiatal gastric transposition was performed in a long gap esophageal atresia without tracheoesophageal fistula. The patient was a 12 months old female infant with previous stamm-type gastrostomy. The stomach was mobilized preserving the right gastric artery, the right gastroepiploic artery and spleen. The proximal and distal blind pouches of esophagus were excised by transcervical and transhiatal route, respectively. The mobilized stomach was pulled up into the neck through esophageal hiatus and posterior mediastinal route. The esophagogastrostomy, the only one anastomosis of this procedure, was safely performed in the neck. There were neither anastomotic leak nor early anastomotic stricture. The oral feeding was quickly established. There was no clinical evidence of regurgitation, difficulty of gastric emptying, hoarseness or respiratory problem. The low morbidity combined with satisfactory functional result indicates that the transhiatal gastric transposition is a safe and easy alternative surgical procedure for esophageal replacement in long gap esophageal atresia.

journal_name

Yonsei Med J

journal_title

Yonsei medical journal

authors

Han SJ,Kim CB,Kim DI,Hwang EH

doi

10.3349/ymj.1995.36.1.89

subject

Has Abstract

pub_date

1995-03-01 00:00:00

pages

89-96

issue

1

eissn

0513-5796

issn

1976-2437

journal_volume

36

pub_type

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