Publication: Early complications of gastric transposition operation
Issued Date
2000-12-01
Resource Type
ISSN
01252208
Other identifier(s)
2-s2.0-0034169370
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Mahidol University
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SCOPUS
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol.83, No.4 (2000), 352-357
Suggested Citation
Ravit Ruangtrakool, M. D. Lewis Spitz Early complications of gastric transposition operation. Journal of the Medical Association of Thailand. Vol.83, No.4 (2000), 352-357. Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/26050
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Title
Early complications of gastric transposition operation
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Abstract
Gastric transposition was performed in 100 children as a definitive procedure for oesophageal replacement between 1982 and 1997 for 69 oesophageal atresia (41 with distal tracheooesophageal fistula, 20 isolated oesophageal atresia and 8 with proximal tracheooesophageal fistula), 16 severe caustic stricture, 7 intractable peptic reflux stricture and 8 miscellaneous causes. Six mortalities were recorded. Sixty-five patients had complications postoperatively and respiratory complication was the most common complication especially in oesophageal atresia patients. Swallowing difficulty, particularly in oesophageal atresia, occurred in 21 per cent of the patients. Ten patients developed cervical leakage with spontaneous closure and 8 patients suffered from anastomosis stricture. Six jejunostomy revisions were required. Three of five pyloromyotomy obtained inadequate gastric drainage post gastric transposition and required the conversion to pyloroplasty. Because of the distinctive low major life-threatening morbidity and low mortality, we concluded that gastric transposition was a safe, easy and preferable procedure for oesophageal replacement in children.