Mahmoud ElFiky

Citation:

Abdelazim, O. A. A., Five Years Experience with the Gastric Tube Esophagoplasty at Cairo University Specialized Pediatric Hospital from 2011 to 2015, , Cairo, Cairo University, 2016.

Thesis Type:

Abstract:

Background:
Esophageal replacement in children is indicated in cases of esophageal atresia with or without fistula, in case of long gap esophageal atresia or failed primary repair. Intractable postcorrosive esophageal stricture is considered also a major indication for replacement.

Methods:
We reviewed esophageal replacement cases by gastric tube carried out in our department between 2011 and 2015. We reported 50 patients (30 boys and 20 girls) there ages ranged from 7 months to 9 years. Esophageal atresia cases were 27 while caustic esophageal stricture cases were 23. Isoperistaltic gastric tube technique was done in 45 patients while antiperistaltic (reversed) gastric tube technique was done in 5 cases. Retrosternal route was chosen in 38 patients while transhiatal route was chosen in 12 patients.

Results:
Leakage and stricture were the most common complications. We had 5 cases of mortality, which were caused mainly by chest related complications. We had excellent to good results during long term follow up in terms of weight gain, swallowing pattern, quality of life, and overall satisfaction

Conclusion:
Gastric tube is a satisfactory surgical method for esophageal replacement in children.