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.

References

1. Waterston D. Colonic replacement of esophagus (intrathoracic), Surg Clin North Am 1964; 44: 1441-7.

2. German JC, Waterston DJ. Colon interposition for replacement of the esophagus in children. J Pediatr Surg 1976;11:227-34.

3. Campbell JR, Webber BR, Harrison MW, et al. Esophageal replacement in infants and children by colon interposition. Am J Surg 1982; 144: 29-34.

4. Freeman NV, Cass DT. Colon interposition: a modification of the Waterston technique using the normal esophageal route, J Pediatr Surg 1982; 17: 17-21.

5. Stone MM, Mahour GH, Weitzman JJ, et al. Esophageal replacement with colon interposition in children. Am Surg 1986; 203: 346-51.

6. Khan A, Stiff G, Mohammed A, et al. Esophageal replacement with colon in children. Pediatr Surg Int 1998; 1:79-83.

7. Dickson JAS. Esophageal substitution with colon – the Waterston operation. Pediatr Surg Int 1996; 11: 224-6.

8. Appignani A, Lauro V, Prestipino M, et al, Intestinal bypass of the esophagus: 117 patients in 28 years. Pediatr Surg Int 2000;16: 326-8.

9. Erdogan E, Emir H, Eroglu E, et al. Esophageal replacement using the colon: a 15-year review. Pediatr Surg Int 2000; 16: 546-9.

10. Ein SH, Shandling B, Stephens CA. Twenty-one year experience with the pediatric gastric tube. J Pediatr Surg 1987;22:77-81.

11. Schettini S, Pinus J. Gastric-tube esophagoplasty in children. Pediatr Surg Int 1998; 14: 144-50.

12. Randolph JG. The reversed gastric tube for esophageal replacement in children. Pediatr Surg Int 1996; 11: 221-3.

13. Borgnon J, Tounian P, Auber F, et al. Esophageal replacement in children by an isoperistaltic gastric tube: a 12-year experience. Pediatr Surg Int 2004; 20: 829-33.

14. Spitz L. Gastric transposition via the mediastinal route for infants with long-gap esophageal atresia. J Pediatr Surg 1984;19:149-54.

15. Valente A, Bereton R, Mackersie A. Esophageal replacement with whole stomach in infants and children. J Pediatr Surg 1987;22:913-7.

16. Marujo WC, Tannuri U, Maksoud JG. Total gastric transposition: an alternative to esophageal replacement in children. J Pediatr Surg 1991; 26: 676-81.

17. Spitz L. Gastric transposition for oesophageal replacement. Pediatr Surg Int 1996; 11: 218-20.

18. Spitz L, Kiely E, Pierro A. Gastric transposition in children – A 21-year experience. J Pediatr Surg 2004; 39: 276-81.

19. HirschI RB, Yardeni D, Oldham K, et al. Gastric transposition for esophageal replacement in children. Ann Surg 2002; 236:531-41.

20. Scharli AF. Esophageal reconstruction in very long atresia by elongation of the lesser curvature. Pediatr Surg Int 1992;7:101-5.

21. Scharli AF. Esophageal reconstruction by elongation of the lesser gastric curvature. Pediatr Surg Int 1996; 11: 214-7.

22. Rao KLN, Menon P, Samujh R, et al. Fundal tube esophagoplasty for esophageal reconstruction in atresia. J Pediatr Surg 2003; 38:1723-5.

23. Ring WS, Varco RL, L'Heureux PR, Foker JE. Esophageal replacement with jejunum in children. An 18 to 33 years follow-up. J Thorac Cardiovasc Surg 1982; 83: 918-27.

24. Foker JE, Ring WS. Varco RL. Technique of jejunal interposition for esophageal replacement. J Thorac Cardiovasc Surg 1982;83:928-33.

25. Spicer RD, Cusick EL. Oesophageal substitution by jejunal free graft; follow-up data and an evaluation. Pediatr Surg Int 1996;11: 227-9.

26. Lindahl H, Louhimo I, Virkola K. Colon interposition or gastric tube? Follow-up study of colon-esophagus and gastric. tube-esophagus patients, J Pediatr Surg 1983; 18: 58-63,

27. Anderson KD, Noblett H, Belsey R, Randolph JG, Long-term follow-up of children with colon and gastric tube interposition for esophageal atresia. Surgery 1992; 111: 131-6.

28. Ure BM, Slany E, Eypasch EP, et al. Long-term functional results and quality of life after colon interposition for long gap oesophageal atresia. Eur J Pediatr Surg 1994;5: 206-10

29. de Lorimier AA, Harrison MR. Long gap esophageal atresia. Primary anastomosis after esophageal elongation by bougienage and esophagomyotomy. J Thorac Cardiovasc Surg 1980; 79: 138-41.

30. Ein SH, Shandling B, Heiss K. Pure esophageal atresia: outlook in the 1990s. J Pediatr Surg 1993; 28: 1147-50.

31. Ein SH, Shandling B. Pure esophageal atresia: a 50-year review. J Pediatr Surg 1994; 29: 1208-11.

32. Davenport M, Hosie GP, Tasker RC, et al. Long-term effects of gastric transposition in children: a physiological study. J Pediatr Surg 1996; 31: 588-93.

33. Ludman L, Spitz L. Quality of life after gastric transposition for oesophageal atresia. J Pediatr Surg 2003; 38: 53-7.

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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 Apr. 25];26(4):127-32. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/241548

Issue

Vol. 26 No. 4 (2005): October - December

Section

Original Articles

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Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.