Gastric Transposition for Infants with Long-Gap Esophageal Atresia

Authors

  • Maitree Anuntkosol Department of Surgery, Queen Sirikit National Institute of Child Health, Bangkok, Thailand
  • Porntep Seetalakarn Department of Surgery, Queen Sirikit National Institute of Child Health, Bangkok, Thailand
  • Achariya Tongsin Department of Surgery, Queen Sirikit National Institute of Child Health, Bangkok, Thailand
  • Wattanasak Petlek Department of Surgery, Queen Sirikit National Institute of Child Health, Bangkok, Thailand

Abstract

Objective: To assess the clinical outcomes of children with long-gap esophageal atresia who underwent gastric transposition.

Materials and Methods: Medical records of all patients having gastric transposition at Queen Sirikit National Institute of Child Health were reviewed, including the first case performed in 1994 and subsequent ones up to 2004.

Results: Nine infants were included, eight with isolated esophageal atresia, one with a distal tracheoesophageal fistula but long gap. Three had significant associated cardiac anomalies. Ages at gastric transposition ranged from 3 months to over one year. 'There was no postoperative mortality. Swallowing function improved with time. Weights for age were at or below the 3rd percentile in 8 children. Long-term outcomes were satisfactory.

Conclusion: Gastric transposition is a safe procedure in infants, even in the very young. It should be considered in case of long-gap esophageal atresia when esophagoesophagostomy is not possible.

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Published

2005-12-30

How to Cite

1.
Anuntkosol M, Seetalakarn P, Tongsin A, Petlek W. Gastric Transposition for Infants with Long-Gap Esophageal Atresia. Thai J Surg [Internet]. 2005 Dec. 30 [cited 2024 Nov. 23];26(4):127-32. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/241548

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