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

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Abstract

We examined the esophageal structure in children who underwent traction to achieve primary repair of long-gap 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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Acknowledgements

S. Mallery and R. Lai for help with examination of endoscopic ultrasound images.

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Authors and Affiliations

  1. Division of Pediatric Gastroenterology, Hepatology, and Nutrition, University of Minnesota, MMC 185, 420 Delaware St SE, Minneapolis, MN, 55455, USA

    Khalid M. Khan

  2. Department of Surgery, Minneapolis, Minnesota, USA

    John E. Foker

  3. University of Minnesota, Minneapolis, Minnesota, USA

    Arash A. Sabati & Tara Kendall

Authors
  1. Khalid M. Khan
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  2. Arash A. Sabati
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  3. Tara Kendall
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  4. John E. Foker
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Correspondence to Khalid M. Khan.

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Khan, K.M., Sabati, A.A., Kendall, T. et al. The Effect of Traction on Esophageal Structure in Children with Long-Gap Esophageal Atresia. Dig Dis Sci 51, 1917–1921 (2006). https://doi.org/10.1007/s10620-006-9169-2

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  • DOI: https://doi.org/10.1007/s10620-006-9169-2

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