Pediatric Surgery International

, Volume 21, Issue 9, pp 705–710

Substitution of thoracic oesophagus by interposition of a pedicled gastric tube, preserving LES function: clinical and histological follow-up

Authors

    • Unit of Pediatric SurgeryUniversity of Sassari
  • Vincenzo Di Benedetto
    • Department of Pediatric SurgeryUniversity of Catania
  • Marco Iannuccelli
    • Unit of Pediatric SurgeryUniversity of Sassari
  • Eraldo Sanna-Passino
    • Service of Surgery (Veterinary School)University of Sassari
  • Liliana Mura
    • Institute of Anestesiology and Intensive Care UnitUniversity of Sassari
  • Giuseppina Dessanti
    • Institute of Anestesiology and Intensive Care UnitUniversity of Sassari
  • Gian Mario Careddu
    • Service of Surgery (Veterinary School)University of Sassari
  • Maria Lucia Manunta
    • Service of Surgery (Veterinary School)University of Sassari
  • Paolo Cossu-Rocca
    • Service of Pathology (Medical School)University of Sassari
  • Ennio Sanna
    • Institute of Pathology (Veterinary School)University of Sassari
Original article

DOI: 10.1007/s00383-005-1499-1

Cite this article as:
Dessanti, A., Benedetto, V.D., Iannuccelli, M. et al. Ped Surgery Int (2005) 21: 705. doi:10.1007/s00383-005-1499-1
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Abstract

Assessment of clinical evolution and histological findings in a group of animals experimentally operated on to substitute the thoracic oesophagus with a gastric tube. Six piglets underwent oesophageal replacement with a gastric tube, constructed from the greater curvature of stomach and pedicled on the gastroepiploic vessels, which was interposed between the oesophageal stumps. At follow-up, all animals were found to be growing and eating normally, apart from case no 1 (stenosis of the lower oesophageal anastomosis). Ph-metry showed a neutral pH on the gastric tube. Postmortem histological analysis of the gastric tube and native oesophagus samples did not show any significant lesions, except in case no 1 (inflammation of the gastric tube and upper oesophagus due to food stasis). The technique of substitution of the oesophagus with an interposed pedicled gastric tube can be a breakthrough in existing surgical methods of oesophageal replacement.

Keywords

Oesophageal substitutionGastric tube interpositionOesophageal atresiaCaustic oesophageal stenosisExperimental surgery.

Copyright information

© Springer-Verlag 2005