Management of Long-gap Esophagus: Experience with End-to-End Anastomosis Under Maximal Tension (original) (raw)

Abstract

During the years 1969–1982, 98 patients with esophageal atresia underwent surgery at our institution. In 15 of the patients a distance of more than 2 cm between the esophageal ends was noted after maximal mobilization of the proximal and distal esophageal segments. Eight of these infants had long-gap atresia with tracheoesophageal fistuale (LGF) to the lower segment. In all these patients end-to-end anastomosis was performed in one layer after closing the tracheoesophageal fistula by the transpleural route, taking great care not to damage the circulation to the lower esophageal segment. A transanastomotic nasogastric tube was left in situ in all patients.

Preview

Unable to display preview. Download preview PDF.

Similar content being viewed by others

Gastric Tube

Chapter © 2021

Author information

Authors and Affiliations

  1. Dept. of Pediatric Surgery, Östra sjukhuset, S-41685, Göteborg, Sweden
    S. Hagberg, A. Rubenson, U. Sillén & K. Werkmäster

Authors

  1. S. Hagberg
    You can also search for this author inPubMed Google Scholar
  2. A. Rubenson
    You can also search for this author inPubMed Google Scholar
  3. U. Sillén
    You can also search for this author inPubMed Google Scholar
  4. K. Werkmäster
    You can also search for this author inPubMed Google Scholar

Editor information

Editors and Affiliations

  1. Chirurgische Abteilung des, Mautner Markhof’schen Kinderspitals der Stadt Wien, Baumgasse 75, A-1030, Wien, Austria
    Peter Wurnig

Rights and permissions

© 1986 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Hagberg, S., Rubenson, A., Sillén, U., Werkmäster, K. (1986). Management of Long-gap Esophagus: Experience with End-to-End Anastomosis Under Maximal Tension. In: Wurnig, P. (eds) Long-gap Esophageal Atresia. Progress in Pediatric Surgery, vol 19. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-70777-3\_8

Download citation

Publish with us