Pediatric Surgery International

, Volume 34, Issue 1, pp 63–69 | Cite as

Esophagoesophagopexy technique for assisted fistulization of esophageal atresia

  • Isabelle Chumfong
  • Hanmin Lee
  • Benjamin E. Padilla
  • Tippi C. MacKenzie
  • Lan T. Vu
Original Article



We describe our experience using a modified suture fistula technique for addressing tension in longer gap esophageal atresia (EA). Esophagoesophagopexy (EEP) is the tacking of the proximal and distal ends of esophageal pouches without formal anastomosis. In this retrospective cohort, we review the outcomes of patients with EA after EEP.


We reviewed the operative reports of EA cases treated at our institution from 1997 to 2016 and identified all patients described as having EEP.


Of 129 EA cases, five patients underwent EEP. Formal anastomosis was not done due to patient’s instability, prematurity, or long gap. Median birth weight was 1.4 kg (0.6–2.2 kg), and median gestational age at birth was 29 weeks (25–34 weeks). Age at time of EEP ranged 0–5 months. Esophagoesophageal fistula was confirmed in three patients. All three had strictures requiring weekly dilations. One of these patients died. The two surviving patients underwent fundoplication.


We describe an alternative technique for esophageal anastomosis in patients for whom a standard anastomosis is not possible. EEP can lead to a functional anastomosis through fistulization and avoid the morbidity of multiple thoracotomies and lengthening procedures. Families should be educated on the potential need for dilations and antireflux procedures.


Esophageal atresia Long gap esophageal atresia Esophageal anastomosis Esophagoesophagopexy Suture fistula 



Esophageal atresia




Esophagoesophageal fistula


Tracheoesophageal fistula


Compliance with ethical standards


This work was supported by the National Institutes of Health [5T32DK007573-27].


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Copyright information

© Springer-Verlag GmbH Germany 2017

Authors and Affiliations

  • Isabelle Chumfong
    • 1
  • Hanmin Lee
    • 1
  • Benjamin E. Padilla
    • 1
  • Tippi C. MacKenzie
    • 1
  • Lan T. Vu
    • 1
  1. 1.Division of Pediatric SurgeryUniversity of California San FranciscoSan FranciscoUSA

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