Long-Gap Oesophageal Atresia

  • David C. van der Zee


This chapter describes the evolution from delayed management of long-gap oesophageal atresia to thoracoscopic treatment directly after birth without the placement of a gastrostomy.

Long-gap oesophageal atresia remains a challenge for pediatric surgeons. Over the years several techniques have been described to manage long-gap oesophageal atresia. More recently a traction technique has been advocated. With the advent of minimal invasive surgery, the thoracoscopic elongation technique has been developed.

This chapter describes the single-center experience with the thoracoscopic treatment of patients with long-gap oesophageal atresia.

Initially all patients had a gastrostomy. During the course the technique evolved into delayed primary anastomosis directly after birth without the use of a gastrostomy.

It is shown that thoracoscopic elongation technique in long-gap oesophageal atresia is not only feasible; it can nowadays also be performed directly after birth without the use of a gastrostomy. With this development we have entered a new era in the management of long-gap oesophageal atresia.


Oesophageal atresia Long-gap Thoracoscopic elongation Traction technique 


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Copyright information

© Springer-Verlag London Ltd., part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Pediatric Surgery, KE 04.140.5University Medical Center UtrechtUtrechtThe Netherlands

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