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Transhiatal Gastric Transposition of A Long Gap Esophageal Atresia

Authors
 Seok Joo Han  ;  Choong Bai Kim  ;  Do Il Kim  ;  Eui Ho Hwang 
Citation
 YONSEI MEDICAL JOURNAL, Vol.36(1) : 89-96, 1995-03 
Journal Title
YONSEI MEDICAL JOURNAL
ISSN
 0513-5796 
Issue Date
1995-03
MeSH
Esophageal Atresia / diagnostic imaging ; Esophageal Atresia / surgery* ; Female ; Gastrostomy ; Humans ; Infant ; Medical Illustration ; Radiography ; Reoperation ; Stomach / diagnostic imaging ; Stomach / surgery*
Keywords
Esophageal atresia ; transhiatal gastric transposition
Abstract
Transhiatal gastric transposition was performed in a long gap esophageal atresia without tracheoesophageal fistula. The patient was a 12 months old female infant with previous stamm-type gastrostomy. The stomach was mobilized preserving the right gastric artery, the right gastroepiploic artery and spleen. The proximal and distal blind pouches of esophagus were excised by transcervical and transhiatal route, respectively. The mobilized stomach was pulled up into the neck through esophageal hiatus and posterior mediastinal route. The esophagogastrostomy, the only one anastomosis of this procedure, was safely performed in the neck. There were neither anastomotic leak nor early anastomotic stricture. The oral feeding was quickly established. There was no clinical evidence of regurgitation, difficulty of gastric emptying, hoarseness or respiratory problem. The low morbidity combined with satisfactory functional result indicates that the transhiatal gastric transposition is a safe and easy alternative surgical procedure for esophageal replacement in long gap esophageal atresia.
Files in This Item:
T199501985.pdf Download
DOI
10.3349/ymj.1995.36.1.89
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Han, Seok Joo(한석주) ORCID logo https://orcid.org/0000-0001-5224-1437
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/186589
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