Preliminary study on gastric tube esophagoplasty for corrosive strictures of the esophagus in children.
- Author:
Wei LIU
1
;
Jian-hua LIANG
;
Jia-hang ZENG
;
Jue TANG
Author Information
- Publication Type:Journal Article
- MeSH: Burns, Chemical; complications; Child; Child, Preschool; Cicatrix; complications; Esophageal Stenosis; etiology; surgery; Esophagoplasty; methods; Follow-Up Studies; Humans; Retrospective Studies; Stomach; surgery; Treatment Outcome
- From: Chinese Journal of Gastrointestinal Surgery 2012;15(9):954-956
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo study the clinical value of gastric tube esophagoplasty for complicated corrosive stricture of the esophagus in children.
METHODSA retrospective analysis was performed to study 7 patients with complicated corrosive stricture of the esophagus who were treated with gastric tube esophagoplasty via retrosternal route between March 2010 and October 2011.
RESULTSThree patients had a stricture longer than 2.5 cm, and 4 patients had more than one stricture. All the operations went well. The average time for mechanical ventilation postoperatively was 6 hours. No patients showed insufficient ventilation after withdraw of ventilator. There was 1 patient developed anastomotic leak which was healed a week later. One patient had anastomotic leak with pyloric obstruction, and the leak was healed 3 weeks after intraoperative placement of duodenal feeding tube and pyloric obstruction became patent 4 weeks later. There were 2 patients developed anastomotic stricture and they resumed normal diet after balloon dilatation. The average follow-up duration was 10.5 months. The quality of life was improved and no other complications were found.
CONCLUSIONGastric tube esophagoplasty is a effective alternative for complicated corrosive stricture of the esophagus and the short-term outcomes are favorable.
