You Position: Home > Paper

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

( views:348, downloads:128 )
Author:
No author available
Journal Title:
Chinese Journal of Gastrointestinal Surgery
Issue:
9
DOI:
10.3760/cma.j.issn.1671-0274.2012.09.022
Key Word:
食管狭窄;小儿;外科手术;管状胃;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.

WanfangData CO.,Ltd All Rights Reserved
About WanfangData | Contact US
Healthcare Department, Fuxing Road NO.15, Haidian District Beijing, 100038 P.R.China
Tel:+86-010-58882616 Fax:+86-010-58882615 Email:yiyao@wanfangdata.com.cn