A Pilot Study of Laparoscopic Gastric Pull-Up by Using the Natural Orifice Translumenal Endoscopic Surgery Technique: A Novel Procedure for Treating Long-Gap Esophageal Atresia (Type A)

2011 ◽  
Vol 21 (9) ◽  
pp. 851-857 ◽  
Author(s):  
Tetsuya Ishimaru ◽  
Tadashi Iwanaka ◽  
Hiroshi Kawashima ◽  
Kan Terawaki ◽  
Tetsuro Kodaka ◽  
...  
Keyword(s):  
Pilot Study ◽  
Esophageal Atresia ◽  
Endoscopic Surgery ◽  
Type A ◽  
Natural Orifice ◽  
Long Gap ◽  
Surgery Technique ◽  
Long Gap Esophageal Atresia ◽  
Gastric Pull Up

scholarly journals Neurologic Injury and Brain Growth in the Setting of Long-Gap Esophageal Atresia Perioperative Critical Care: A Pilot Study

2019 ◽  
Vol 9 (12) ◽  
pp. 383 ◽  
Author(s):  
Samuel S. Rudisill ◽  
Jue T. Wang ◽  
Camilo Jaimes ◽  
Chandler R. L. Mongerson ◽  
Anne R. Hansen ◽  
...  
Keyword(s):  
Pilot Study ◽  
Esophageal Atresia ◽  
Brain Volume ◽  
Brain Mri ◽  
Full Term ◽  
Brain Growth ◽  
Term Infants ◽  
Long Gap ◽  
Long Gap Esophageal Atresia ◽  
The Impact

We previously showed that infants born with long-gap esophageal atresia (LGEA) demonstrate clinically significant brain MRI findings following repair with the Foker process. The current pilot study sought to identify any pre-existing (PRE-Foker process) signs of brain injury and to characterize brain and corpus callosum (CC) growth. Preterm and full-term infants (n = 3/group) underwent non-sedated brain MRI twice: before (PRE-Foker scan) and after (POST-Foker scan) completion of perioperative care. A neuroradiologist reported on qualitative brain findings. The research team quantified intracranial space, brain, cerebrospinal fluid (CSF), and CC volumes. We report novel qualitative brain findings in preterm and full-term infants born with LGEA before undergoing Foker process. Patients had a unique hospital course, as assessed by secondary clinical end-point measures. Despite increased total body weight and absolute intracranial and brain volumes (cm3) between scans, normalized brain volume was decreased in 5/6 patients, implying delayed brain growth. This was accompanied by both an absolute and relative CSF volume increase. In addition to qualitative findings of CC abnormalities in 3/6 infants, normative CC size (% brain volume) was consistently smaller in all infants, suggesting delayed or abnormal CC maturation. A future larger study group is warranted to determine the impact on the neurodevelopmental outcomes of infants born with LGEA.

Laparoscopic Gastric Pull-Up for Long Gap Esophageal Atresia

2008 ◽  
pp. 1-5
Author(s):  
Edward Esteves ◽  
Marcelo Calcagno Silva ◽  
Kelly Cristina Castro Paiva ◽  
Celio Carneiro Chagas ◽  
Roneyara Rosa Valamiel ◽  
...  
Keyword(s):  
Esophageal Atresia ◽  
Long Gap ◽  
Long Gap Esophageal Atresia ◽  
Gastric Pull Up

DOZ047.19: Outcomes in the management of long-gap esophageal atresia: is the Foker technique superior?

2019 ◽  
Vol 32 (Supplement_1) ◽  
Author(s):  
A Wiseman ◽  
J Krishnan ◽  
D Wanaguru ◽  
C Langusch ◽  
V Varjavandi ◽  
...  
Keyword(s):  
Esophageal Atresia ◽  
Type A ◽  
Small Sample ◽  
Type B ◽  
Repair Technique ◽  
Long Gap ◽  
Delayed Repair ◽  
Significant Difference ◽  
Long Gap Esophageal Atresia ◽  
Type C

Abstract Background Long-gap esophageal atresia (LGEA) has traditionally been managed by delayed anastamosis. However, over the last 10 years the Foker technique of esophageal growth elongation has been used. There is limited data evaluating outcomes using both techniques. Aims The aim of this study was to compare the outcomes in LGEA repair using the traditional delayed repair technique versus the Foker technique. Methods A retrospective chart review was done of LGEA patients at Sydney Children's Hospital between 1997 and 2016, comparing the Foker technique with the delayed repair technique. Results There were 9 children repaired using the Foker technique, and 10 by delayed repair. There were 7 patients with Type A, 1 with Type B, and 1 with Type C in the Foker group and in the delayed repair cohort, 5 were Type A, 2 Type B, 2 Type C, and 1 Type D esophageal atresia/tracheoesophageal fistula. There were 4 males in the Foker group and 5 in the non-Foker group. Median time to join was 59 days (15–117 days) for Foker repair and 173 days (16–433 days) for delayed repair. There was no significant difference in the incidence of post-operative leak, incidence of strictures needing dilation, presence of reflux symptoms, presence of reflux esophagitis on endoscopy, proton pump inhibitor use, need for fundoplication, incidence of cyanotic spells, occurrence of recurrent fistula, and symptoms of dysphagia when comparing both groups. Data on time to oral feeds and incidence of malnutrition was incomplete. Details are shown in Table 1. Conclusions Although the time to anastamosis was shorter in the Foker group and the incidence of post-operative leak, strictures needing dilation, need for fundoplication, and dysphagia were lower in the Foker group, the difference was not significant probably secondary to the small sample size. These results require validation in larger cohorts.

scholarly journals A two-center comparative study of gastric pull-up and jejunal interposition for long gap esophageal atresia

2015 ◽  
Vol 50 (4) ◽  
pp. 535-539 ◽  
Author(s):  
Gabriele Gallo ◽  
Sander Zwaveling ◽  
David C. Van der Zee ◽  
Klaas N. Bax ◽  
Zacharias J. de Langen ◽  
...  
Keyword(s):  
Comparative Study ◽  
Esophageal Atresia ◽  
Jejunal Interposition ◽  
Long Gap ◽  
Long Gap Esophageal Atresia ◽  
Gastric Pull Up

Laparoscopic Gastric Pull-Up for Long Gap Esophageal Atresia

2009 ◽  
Vol 19 (s1) ◽  
pp. s191-s195 ◽  
Author(s):  
Edward Esteves ◽  
Marcelo Calcagno Silva ◽  
Kelly Cristina Castro Paiva ◽  
Celio Carneiro Chagas ◽  
Roneyara Rosa Valamiel ◽  
...  
Keyword(s):  
Esophageal Atresia ◽  
Long Gap ◽  
Long Gap Esophageal Atresia ◽  
Gastric Pull Up

Type-A long-gap esophageal atresia treated by thoracoscopic esophagoesophagostomy after sequential extrathoracic esophageal elongation (Kimura’s technique)

2013 ◽  
Vol 29 (11) ◽  
pp. 1171-1175 ◽  
Author(s):  
Go Miyano ◽  
Hiroomi Okuyama ◽  
Hiroyuki Koga ◽  
Manabu Okawada ◽  
Takashi Doi ◽  
...  
Keyword(s):  
Esophageal Atresia ◽  
Type A ◽  
Long Gap ◽  
Long Gap Esophageal Atresia
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