These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: Long gap esophageal atresia: primary anastomosis after esophageal elongation by bougienage and esophagomyotomy.
    Author: de Lorimier AA, Harrison MR.
    Journal: J Thorac Cardiovasc Surg; 1980 Jan; 79(1):138-41. PubMed ID: 7350381.
    Abstract:
    Treatment of infants with "long gap" esophageal atresia usually requires a staged procedure consisting of cervical esophagostomy and gastrostomy at birth, and then a bowel interposition between the esophagus and stomach at 1 year of age. Because this approach produces significant morbidity and swallowing dysfunction, an alternative method for treating the long gap atresia is recommended. The upper esophageal pouch can be elongated by preoperative bougienage during a 2 to 10 week period of delay. Intraoperative circumferential esophagomyotomy can further elongate the upper pouch by about 1 cm for each myotomy. Combining these two techniques allows successful primary esophageal reconstruction in infants with long gap esophageal atresia previously considered uncorrectable except by use of colonic or gastric tube interpositions.
    [Abstract] [Full Text] [Related] [New Search]