J Korean Assoc Pediatr Surg.  1997 Dec;3(2):152-159. 10.13029/jkaps.1997.3.2.152.

Esophageal Replacement with Transhiatal Gastric Transposition in the Long Gap Esophageal Atresia: Report of Two Cases

• Han SJ
• Kim SD
• Kim CB
• Oh JT
• Hwang EH

• KMID: 2422253
• DOI: http://doi.org/10.13029/jkaps.1997.3.2.152

Abstract

Transhiatal gastric transpositions were performed in two case of long gap esophageal atresia without tracheoesophageal fistula. The patients were a 12 months old female and an 18 months old male. Stamm type gastrostomies were performed at other hospitals in both cases. The stomach was mobilized preserving the right gastric artery, the right gastroepiploic artery and spleen. The proximal and distal esophageal pouches were excised by transcervical and transhiatal route, respectively. The mobilized stomach was pulled up to the neck through esophageal hiatus and posterior mediastinal route. The esophagogastrostomy, the only one anastomosis of this procedure, was performed in the neck. There was no clinical evidence of anastomotic leakage, stricture, regurgitation, difficulty of gastric emptying, hoarseness or respiratory problem. Transhiatal gastric transposition seems to be a safe and easy alternative surgical procedure for esophageal replacement in long gap esophageal atresia.

Keyword

Esophageal atresia; Transhiatal; Gastric transposition

MeSH Terms

Anastomotic Leak
Arteries
Constriction, Pathologic
Esophageal Atresia*
Female
Gastric Emptying
Gastroepiploic Artery
Gastrostomy
Hoarseness
Humans
Male
Neck
Spleen
Stomach
Tracheoesophageal Fistula