Abstract
The loss of esophageal length in long-gap esophageal atresia or obliteration of the esophageal lumen due to stricture may require major operative reconstruction. A number of procedures have been developed to allow anatomic replacement of the esophagus. The gastric transposition requires a single cervical anastomosis and uses a gastric conduit with excellent blood supply. This review illustrates the procedure and discusses its indications, planning, and outcome.
Similar content being viewed by others
References
Spitz L (2006) Esophageal replacement. In: Grosfeld JL et al (eds) Pediatric surgery, 6th edn. Mosby, Philadelphia
Ruiz-Elizalde AR, Frischer JS, Cowles RA (2009) Button-loop feeding jejunostomy. J Gastrointest Surg 13(7):1376–1378
Sweet RH (1948) A new method of restoring continuity of the alimentary canal in cases of congenital atresia of the esophagus with tracheoesophageal fistula not treated by immediate primary anastomosis. Ann Surg 127(4):757–768
Spitz L (1984) Gastric transposition via the mediastinal route for infants and children with long-gap esophageal atresia. J Pediatr Surg 19(2):149–154
Spitz L (1992) Gastric transposition for esophageal substitution in children. J Pediatr Surg 27(2):252–259
Spitz L, Keily E, Pierro A (2004) Gastric transposition in children—a 21-year experience. J Pediatr Surg 39(3):276–281
Spitz L (2009) Gastric transposition in children. Semin Pediatr Surg 18(1):30–33
Hirschl RB, Yardeni D, Oldham K et al (2002) Gastric transposition for esophageal replacement in children—experience with 41 consecutive cases with special emphasis on esophageal atresia. Ann Surg 236(4):531–541
Davenport M, Hosie GP, Tasker RC et al (1996) Long-term effects of gastric transposition in children: a physiological study. J Pediatr Surg 31(4):588–593
Ludman L, Spitz L (2003) Quality of life after gastric transposition for oesophageal atresia. J Pediatr Surg 38(1):53–57
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Cowles, R.A., Coran, A.G. Gastric transposition in infants and children. Pediatr Surg Int 26, 1129–1134 (2010). https://doi.org/10.1007/s00383-010-2736-9
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00383-010-2736-9