J Korean Assoc Pediatr Surg.  1995 Jun;1(1):53-58. 10.13029/jkaps.1995.1.1.53.

Primary Esophageal Repair of Long-gap Esophageal Atresia: Report of One Case

• Lee MD

• KMID: 2422321
• DOI: http://doi.org/10.13029/jkaps.1995.1.1.53

Abstract

A delayed primary esophago-esophagostomy of a case of long-gap esophageal atresia without tracheoesophageal fistula was performed in success with three months' intermittent periodic bougienage of the upper pouch via mouth as well as the lower esophagus through Janeway gastrostomy. Meanwhile, an effective continuous sump suction from the upper pouch seemed to be a critical part of the patient management. The extra length of esophagus for primary anastomosis could be achieved by a circular myotomy. Stricture at the myotomy site, found 4 months later, was treated with periodic pneumatic baloon dilations only with temporary symptomatic reliefs. After 4 months' trials, operative esophagoplasty was performed successfuly. A careful follow-up schedule for the myotomy site would be required for early detection of stricture. The previous neonatal patient is currently 8 years old, healthy schoolboy, and has a normal barium swallow without stricture or gastroesophageal reflux.

Keyword

Esophageal atresia; Treatment; Esophago-esophagostomy

MeSH Terms

Appointments and Schedules
Barium
Constriction, Pathologic
Esophageal Atresia*
Esophagoplasty
Esophagus
Follow-Up Studies
Gastroesophageal Reflux
Gastrostomy
Humans
Mouth
Suction
Tracheoesophageal Fistula
Barium