Multistaged extrathoracic esophageal elongation procedure for long gap esophageal atresia: Experience with 12 patients

Kimura, Ken; Nishijima, Eiji; Tsugawa, Chikara; Collins, David L.; Lazar, Eric L.; Stylianos, Steven; Sandler, Anthony D.; Soper, Robert T.

doi:10.1053/jpsu.2001.27976

Cited by 77 publications

(50 citation statements)

References 8 publications

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“…The gap was three vertebral lengths long. Subsequently, she underwent multistaged extrathoracic esophageal elongation procedures [4,5] at 6, 8, and 12 months of age. At the age of 18 months, esophagoesophagostomy was performed via a thoracotomy.…”

Section: Case Reportmentioning

confidence: 99%

Efficacy and histopathological esophageal wall damage of biodegradable esophageal stents for treatment of severe refractory esophageal anastomotic stricture in a child with long gap esophageal atresia

Okata

Hisamatsu

Bitoh

et al. 2014

Clin J Gastroenterol

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A case in which a self-expandable biodegradable (BD) esophageal stent was used for a refractory esophageal anastomotic stricture (EAS) in a 5-year-old female is presented. The patient underwent closure of a tracheoesophageal fistula and gastrostomy in the neonatal period. Esophagoesophagostomy was performed at 18 months of age after a multistaged extrathoracic esophageal elongation procedure. The patient developed refractory EAS and required repeated esophageal balloon dilation. Four sessions of esophageal BD stenting were performed from the age of 5-8 years. Each BD stenting allowed her to eat chopped food, but the anastomotic stricture recurred 4-7 months after the procedure. No major complications were observed, though transient chest pain and dysphagia were observed after each stenting. Finally, at 8 years of age, EAS resection and esophagoesophageal anastomosis were performed. The resected specimens showed thickened scar formation at the EAS lesion, while the degree of esophageal wall damage, both at the proximal and distal ends of the stricture, was slight. To the best of our knowledge, this is the first case report of this kind of treatment and assessment of damage to the esophageal wall microscopically. The advantages and problems of the use of BD stents in children are discussed.

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Section: Case Reportmentioning

confidence: 99%

Efficacy and histopathological esophageal wall damage of biodegradable esophageal stents for treatment of severe refractory esophageal anastomotic stricture in a child with long gap esophageal atresia

Okata

Hisamatsu

Bitoh

et al. 2014

Clin J Gastroenterol

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“…Similarly to several surgical techniques used for esophageal elongation (1)(2)(3)(4)(5)(6)(7)(8)(11)(12)(13)(14)(15)(16)(17), in this study the esophagus was elongated by traction as well. To the best of our knowledge, this is the first study to clarify which part of the esophagus was elongated by traction.…”

Section: Discussionmentioning

confidence: 93%

Histological study of the elongated esophagus in a rat model

Inoue

Kosaka

Takatsuki

et al. 2015

Journal of Surgical Research

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“…Some centers have continued to develop techniques to elongate the esophagus, including myotomy and bougienage [10][11][12]. The University of Minnesota has served as a referral center for difficult cases of EA and particularly salvaging long-gap EA.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Traction on Esophageal Structure in Children with Long-Gap Esophageal Atresia

et al. 2006

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We examined the esophageal structure in children who underwent traction to achieve primary repair of longgap esophageal atresia. High-resolution ultrasound was used to compare thickness of the proximal and distal esophagus in children who had traction to achieve primary repair (n = 15) to cases of esophageal atresia with shorter gaps that did not require traction (n = 8). The muscularis propria of the upper esophagus was thicker in the traction compared to the non-traction group, though not statistically significant (respectively, 0.79 (0.18) mm vs. 0.71 (0.16) mm; p = 0.29), measurements were similar for the lower esophagus (respectively, 0.79 (0.21) mm vs. 0.75 (0.13) mm; p = 0.64). Combined mucosa and submucosa was very similar in both groups for the upper (respectively, 1.03 (0.15) mm vs. 1.04 (0.16) mm; p = 0.95) and lower esophagus (respectively, 1.09 (0.23) mm vs. 1.01 (0.13) mm; p = 0.37). The thickness of individual mural layers is maintained after increasing esophageal length with traction.

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Multistaged extrathoracic esophageal elongation procedure for long gap esophageal atresia: Experience with 12 patients

Cited by 77 publications

References 8 publications

Efficacy and histopathological esophageal wall damage of biodegradable esophageal stents for treatment of severe refractory esophageal anastomotic stricture in a child with long gap esophageal atresia

Efficacy and histopathological esophageal wall damage of biodegradable esophageal stents for treatment of severe refractory esophageal anastomotic stricture in a child with long gap esophageal atresia

Histological study of the elongated esophagus in a rat model

The Effect of Traction on Esophageal Structure in Children with Long-Gap Esophageal Atresia

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