Preliminary study on gastric tube esophagoplasty for corrosive strictures of the esophagus in children

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Author:
LIU Wei(Department of Thoracic Surgery,Guangzhou Women and Children's Medical Center, Guangzhou 510120, China)
LIANG Jian-hua(Department of Thoracic Surgery,Guangzhou Women and Children's Medical Center, Guangzhou 510120, China)
ZENG Jia-hang(Department of Thoracic Surgery,Guangzhou Women and Children's Medical Center, Guangzhou 510120, China)
TANG Jue(Department of Thoracic Surgery,Guangzhou Women and Children's Medical Center, Guangzhou 510120, China)
Journal Title:
Chinese Journal of Gastrointestinal Surgery
Issue:
Volume 15, Issue 09, 2012
DOI:
10.3760/cma.j.issn.1671-0274.2012.09.022
Key Word:
Esophagus stricture; Surgical procedures ; Children; Gastric tube

Abstract: Objective To study the clinical value of gastric tube esophagoplasty for complicated corrosive stricture of the esophagus in children.Methods A retrospective analysis was performed to study 7 patients with complicated corrosive stricture of the esophagus who were treated with gastric tube esophagoplasty via retrosternal route between March 2010 and October 2011.Results Three patients had a stricture longer than 2.5 cm,and 4 patients had more than one stricture.All the operations went well.The average time for mechanical ventilation postoperatively was 6 hours.No patients showed insufficient ventilation after withdraw of ventilator.There was 1 patient developed anastomotic leak which was healed a week later.One patient had anastomotic leak with pyloric obstruction,and the leak was healed 3 weeks after intraoperative placement of duodenal feeding tube and pyloric obstruction became patent 4 weeks later.There were 2 patients developed anastomotic stricture and they resumed normal diet after balloon dilatation.The average follow-up duration was 10.5 months.The quality of life was improved and no other complications were found.Conclusion Gastric tube esophagoplasty is a effective alternative for complicated corrosive stricture of the esophagus and the short-term outcomes are favorable.

  • [1]Alshammari J,Quesnel S,Pierrot S,et al.Endoscopic balloon dilatation of esophageal strictures in children.Int J Pediatr Otorhinolaryngol,2011,75 (11):1376-1379.
  • [2]Javed A,Pal S,Dash NR,et al.Outcome following surgical management of corrosive strictures of the esophagus.Ann Surg,2011,254 (1):62-66.
  • [3]Bassiouny IE,AI-Rammadan SA,Al-Nadv A.Long-term functional results of transhiatal oesophagectomy and colonic interposition for caustic oesophageal stricture.Eur J Pediatr Surg,2002,12(4):243-247.
  • [4]Arul GS,Parikh D.Oesophageal replacement in children.Ann R Coll Surg Engl,2008,90(1):7-12.
  • [5]程邦昌,夏军,刘昔平,等.结肠代食管术后远期并发症的观察.中华外科杂志,2007,45(2):118-120.
  • [6]Spitz L.Gastric transposition in children.Semin Pediatr Surg,2009,18(1):30-33.
  • [7]Ein SH,Shanding B,Stephens CA.Twenty-one year experience with the pediatric gastric tube.J Pediatr Surg,1987,22(1):77-81.
  • [8]余家康,陈汉章,钟微,等.顺行胃管代食管手术治疗长段型食管闭锁.中华小儿外科杂志,2010,31(3):168-170.
  • [9]傅剑华.从解剖生理学角度谈胃代食管重建术.中华胃肠外科杂志,2008,11(1):8-10.
  • [10]吴明拜,张力为,朱辉,等.食管、贲门癌手术后并发症174例临床分析.中华外科杂志,2005,43(6):405-406.
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