Gastric Tube Replacement in Esophageal Atresia.
- Author:
Chang Sup LIM
1
;
Hyun Young KIM
;
Kwi Won PARK
;
Sung Eun JUNG
;
Seong Cheol LEE
;
Woo Ki KIM
Author Information
1. Department of Surgery, Seoul National University College of Medicine, Seoul, Korea. pedsurg@plaza.snu.ac.kr
- Publication Type:Original Article
- Keywords:
Esophageal atresia;
Gastric tube;
Esophageal replacement
- MeSH:
Child;
Colon;
Constriction, Pathologic;
Diverticulum;
Esophageal Atresia*;
Fistula;
Follow-Up Studies;
Gastroesophageal Reflux;
Humans;
Infant;
Postoperative Complications;
Seoul;
Stomach;
Tracheoesophageal Fistula
- From:Journal of the Korean Association of Pediatric Surgeons
2004;10(2):92-98
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The history of esophageal replacement in infants or children is the history of development of various kinds of alternative conduits such as stomach, colon, and small bowel. The gastric tube has been the most widely used conduit. From January 1988 to May 2003, 23 esophageal replacements with gastric tube were performed at the Department of Pediatric Surgery, Seoul National University Childrens Hospital. Statistical analysis was performed using Windows SPSS11.0 Pearson exact test. There were Gross type A(n=10), type B(n=1), type C(n=11), type D(n=1). Ten patients who had long gap esophageal atresia (type A-8, type B-1, type C-1) and 13 patients (type A 2, type C-10, type D-1) who had stenosis, leakage, recurred tracheoesophageal fistula, and esophagocutaneous fistula after previous corrective operations, had esophageal replacement with gastric tube. Mean follow-up periods were 4 year 2 months (7 months-15 year 1 month). There were postoperative complications including GERD in 16 (69.6 %), leakages in 7 (30.4 %), diverticulum at anastomosis in 2 (8.7 %), anastomosis site stenosis in 4 (17.3 %), and distal stenosis of the gastric tube in 1 (4.3 %). There was no statistical significance between operation types and postoperative leakage and gastroesophageal reflux. In conclusion, esophageal replacement with gastric tube may be a useful surgical option in esophageal atresia with long gap and esophageal atresia complicated by previous corrective operation.
