Plastica antireflusso dell'anastomosi colongastrica in paziente operata con esofago-colon-plastica retrosternale.

Translated title of the contribution: Antireflux plastic repair of the cologastric anastomosis in a female patient operated on by retrosternal esophagocoloplasty

P. Dodero, F. Sanfilippo, A. Rossi, L. Lonati, E. Podestà

Research output: Contribution to journalArticlepeer-review

Abstract

Esophageal atresia without fistula is a rather uncommon malformation (about 8% of all esophageal atresias); its surgical correction is sometimes difficult because of the long gap between the two pouches. When a delayed anastomosis cannot be performed, it is necessary to perform a colon interposition. In one patient operated with retrosternal esophageal-colon-plasty a second operation was needed to correct a symptomatic reflux causing dysphasia and severe aspiration pneumonia. The distal end of the colon was tapered around a chest tube; then a submucosal gastric tunnel was prepared, and the tapered colon was pulled through it and anastomosed to the gastric lumen. The child showed no evidence of gastrocolic reflux in the three years following the operation and is today healthy. Radiologic and scintigraphic examinations, performed ten months after the operation, showed the good canalization of the interposed colon and the continence of the antireflux anastomosis.

Translated title of the contributionAntireflux plastic repair of the cologastric anastomosis in a female patient operated on by retrosternal esophagocoloplasty
Original languageItalian
Pages (from-to)529-530
Number of pages2
JournalPediatria Medica e Chirurgica
Volume14
Issue number5
Publication statusPublished - Sep 1992

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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