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Repair of Other Congenital Esophageal Anomalies

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Esophageal and Gastric Disorders in Infancy and Childhood

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Abstract

Esophageal duplication cysts are unknown lesions, with an approximate incidence of 1 in 10,000 [1]. They account for about 20 % of all gastrointestinal duplications [2]. Because of the reported association of esophageal duplications and esophageal atresia (EA) [3, 4], some authors have sought a possible commonality in the embryogenesis of these defects. When rats were given Adriamycin to develop EA and tracheoesophageal fistula (TEF), 25 % also developed esophageal duplications [5]. This finding implies that esophageal duplications arise from the foregut, and failure of the esophagus to normally separate from the notochord may contribute to their development. It has also been postulated that esophageal duplications and bronchogenic cysts share a common origin [6]. However, esophageal duplications are histologically distinct from bronchogenic cysts by having layers of smooth muscle and being lined by gastrointestinal epithelium. Most duplications are cystic and do not share a common wall with the esophagus.

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References

  1. Bissler JJ, Klein RL. Alimentary tract duplications in children: case and literature review. Clin Pediatr. 1988;27:152–7.

    Article  CAS  Google Scholar 

  2. Holcomb III GW, Gheissari A, O’Neil JA, et al. Surgical management of alimentary tract duplications. Ann Surg. 1989;209:167–74.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Kirks DR, Filston HC. The association of esophageal duplication cyst with esophageal atresia. Pediatr Radiol. 1981;11:214–6.

    Article  CAS  PubMed  Google Scholar 

  4. Narasimharao KL, Mitra SK. Esophageal atresia associated with esophageal duplication cyst. J Pediatr Surg. 1987;22:984–5.

    Article  CAS  PubMed  Google Scholar 

  5. Qi BQ, Beasley SW, Williams AK. Evidence of a common pathogenesis for foregut duplications and esophageal atresia with tracheo-esophageal fistula. Anat Rec. 2001;264:93–100.

    Article  CAS  PubMed  Google Scholar 

  6. Nobuhara KK, Gorski YC, La Quaglia MP, et al. Bronchogenic cysts and esophageal duplications: common origins and treatment. J Pediatr Surg. 1997;32:1408–13.

    Article  CAS  PubMed  Google Scholar 

  7. Whitaker JA, Deffenbaugh LD, Cooke AR. Esophageal duplication cyst. Am J Gastroenterol. 1980;73:329–32.

    CAS  PubMed  Google Scholar 

  8. Azzie G, Beasley S. Diagnosis and treatment of foregut duplication. Semin Pediatr Surg. 2003;12:46–54.

    Article  PubMed  Google Scholar 

  9. Gul A, Tekoglu, Aslan H, et al. Prenatal sonographic features of esophageal and ileal duplications at 18 weeks of gestation. Prenat Diagn. 2004;24:969–71.

    Article  PubMed  Google Scholar 

  10. Kumar D, Samujh R, Rao KLN. Infected esophageal duplication cyst simulating empyema. Indian Pediatr. 2003;40:423–5.

    PubMed  Google Scholar 

  11. Peiper M, Lambrecht W, Kluth D, et al. Bleeding esophageal duplication detected in utero. Ann Thorac Surg. 1995;60:1790–1.

    Article  CAS  PubMed  Google Scholar 

  12. Bratu I, Laberg JM, Flageole H, et al. Foregut duplications: is there an advantage to thoracoscopic resection? J Pediatr Surg. 2005;40:138–41.

    Article  PubMed  Google Scholar 

  13. Faigel DO, Burke A, Ginsberg GG, et al. The role of endoscopic ultrasound in the evaluation and management of foregut duplications. Gastrointest Endosc. 1997;45:99–102.

    Article  CAS  PubMed  Google Scholar 

  14. Ladd WE, Scott HW. Esophageal duplications or mediastinal cysts of enteric origin. Surgery. 1944;16:815–35.

    Google Scholar 

  15. Merry C, Spurbeck W, Lobe TE. Resection of foregut-derived duplications by minimal access surgery. Pediatr Surg Int. 1999;15:224–6.

    Article  CAS  PubMed  Google Scholar 

  16. Marshall ME, Trump DL. Acquired extrinsic pulmonary stenosis cause by mediastinal tumors. Cancer. 1982;49:1496–9.

    Article  CAS  PubMed  Google Scholar 

  17. Kuhlman JE, Fishman EK, Wang KP, et al. Esophageal duplication cyst: CT and transesophageal needle aspiration. Am J Roentgenol. 1985;145:531–2.

    Article  CAS  Google Scholar 

  18. Schwartz AR, Fishman EK, Wang KP, et al. Endoscopic ultrasonography and endoscopically guided needle aspiration for the diagnosis of upper gastrointestinal tract foregut cysts. Am J Gastroenterol. 1992;87:762–5.

    Google Scholar 

  19. Page JE, Wilson AG, de Belder MA. The value of transesophageal ultrasonography in the management of a mediastinal foregut cyst. Br J Radiol. 1989;62:986–8.

    Article  CAS  PubMed  Google Scholar 

  20. Chuang MT, Barba FA, Kaneko M, et al. Adenocarcinoma arising in an intra-thoracic duplication cyst of foregut origin: a case report and review of the literature. Cancer. 1981;47:1887–90.

    Article  CAS  PubMed  Google Scholar 

  21. Gott G, Haid MM, Voltermann L, et al. Unusual malignancy in the wall of a mediastinal cyst. J Thorac Cardiovasc Surg. 1983;106:1233–4.

    Google Scholar 

  22. Jacob R, Hawkes ND, Dallimore N, et al. Squamous carcinoma in an oesophageal foregut cyst. Br J Radiol. 2003;76:343–6.

    Article  CAS  PubMed  Google Scholar 

  23. Lee MY, Jensen E, Kwak S, et al. Metastatic adenocarcinoma arising in a congenital foregut cyst of the oesophagus: a case report with review of the literature. Am J Clin Oncol. 1998;21:64–6.

    Article  CAS  PubMed  Google Scholar 

  24. Olsen JP, Clemmensen O, Anderson K. Adenocarcinoma arising in a foregut cyst of the mediastinum. Ann Thorac Surg. 1991;51:497–9.

    Article  CAS  PubMed  Google Scholar 

  25. Smith SM, Young CS, Bishop AF. Adenocarcinoma of a foregut cyst: detection with positron emission tomography. Roentgenology. 1996;167:1153–4.

    Article  CAS  Google Scholar 

  26. Tapia RH, White VA. Squamous cell carcinoma arising in a duplication cyst of the oesophagus. Am J Gastroenterol. 1985;80:325–9.

    CAS  PubMed  Google Scholar 

  27. Holcomb III GW, Rothenberg SS, Bax KM, et al. Thoracoscopic repair of esophageal atresia and tracheoesophageal fistula: a multi-institutional analysis. Ann Surg. 2005;242:422–8.

    PubMed  PubMed Central  Google Scholar 

  28. Hirose S, Clifton MS, Bratton B, et al. Thoracoscopic resection of foregut duplication cysts. J Laparoendosc Adv Surg Tech. 2006;16:526–9.

    Article  Google Scholar 

  29. Michel JL, Revillon Y, Montupet P, et al. Thoracoscopic treatment of mediastinal cysts in children. J Pediatr Surg. 1998;33:1745–8.

    Article  CAS  PubMed  Google Scholar 

  30. Mazzioti MV, Ternberg JL. Continuous communicating esophageal and gastric duplication. J Pediatr Surg. 1997;32:775–8.

    Article  Google Scholar 

  31. Bluestone CD, Kerry R, Siebler WK. Congenital esophageal stenosis. Laryngoscope. 1969;79:1095–103.

    Article  CAS  PubMed  Google Scholar 

  32. Calabrese C, Fabbri A, Fusaroli P, et al. Diffuse esophageal leiomyomatosis: case report and review of the literature. Gastrointest Endosc. 2002;55:590–3.

    Article  PubMed  Google Scholar 

  33. Jones DW, Kunisaki SM, Teitelbaum DH, et al. Congenital esophageal stenosis: the differential diagnosis and management. Pediatr Surg Int. 2010;26:547–51.

    Article  PubMed  Google Scholar 

  34. Zhao LL, Hsieh WS, Hsu WM. Congenital esophageal stenosis owing to ectopic tracheobronchial remnants. J Pediatr Surg. 2004;39:1183–7.

    Article  PubMed  Google Scholar 

  35. Neilson IR, Croituru DP, Guttman FM, et al. Distal congenital esophageal stenosis associated with esophageal atresia. J Pediatr Surg. 1991;26:478–82.

    Article  CAS  PubMed  Google Scholar 

  36. Fekete CN, Backer AD, Jacob SL. Congenial esophageal stenosis: a review of 20 cases. Pediatr Surg Int. 1987;2:86–92.

    Article  Google Scholar 

  37. Ibrahim AHM, Al Malki TA, Hamza AF, et al. Congenital esophageal stenosis associated with esophageal atresia: new concepts. Pediatr Surg Int. 2007;23:533–7.

    Article  PubMed  Google Scholar 

  38. Kawahara H, Imura K, Yagi M, et al. Clinical characteristic of congenital oesophageal stenosis distal to associated oesophageal atresia. Surgery. 2001;129:29–38.

    Article  CAS  PubMed  Google Scholar 

  39. Spitz L. Congenital esophageal stenosis distal to associated esophageal atresia. J Pediatr Surg. 1973;8:973–4.

    Article  CAS  PubMed  Google Scholar 

  40. Yeung CK, Spitz L, Brereton RJ, et al. Congenital esophageal stenosis due to tracheobronchial remnants: a rare but important association with esophageal atresia. J Pediatr Surg. 1992;27:852–5.

    Article  CAS  PubMed  Google Scholar 

  41. Amae S, Nio M, Kamiyama T, et al. Clinical characteristics and management of congenital esophageal stenosis: a report of 14 cases. J Pediatr Surg. 2003;38:565–70.

    Article  PubMed  Google Scholar 

  42. Takamizawa S, Tsugawa C, Mouri N, et al. Congenital esophageal stenosis: therapeutic strategy based on etiology. J Pediatr Surg. 2002;37:197–201.

    Article  PubMed  Google Scholar 

  43. Usui N, Kamata S, Kawahara H, et al. Usefulness of endoscopic ultrasonography in the diagnosis of congenital esophageal stenosis. J Pediatr Surg. 2002;37:1744–6.

    Article  PubMed  Google Scholar 

  44. Vasudevan SA, Kerendi F, Lee H, et al. Management of congenital esophageal stenosis. J Pediatr Surg. 2002;37:1024–2106.

    Article  PubMed  Google Scholar 

  45. Liu Y, Xue F. Congenital esophageal stenosis due to tracheobronchial cartilage. Int J Pediatr Otorhinolaryngol. 1987;14:95–100.

    Article  CAS  PubMed  Google Scholar 

  46. Olguner M, Ozdemir T, Akgur FM, et al. Congenital esophageal stenosis owing to tracheobronchial remnants. A case report. J Pediatr Surg. 1997;32:1485–7.

    Article  CAS  PubMed  Google Scholar 

  47. Shoshany G, Barb-Maor JA. Congenital stenosis of the esophagus due to tracheobronchial remnants: a missed diagnosis. J Pediatr Gastroenterol Nutr. 1986;5:977–9.

    Article  CAS  PubMed  Google Scholar 

  48. Shorter NA, Mooney DP, Vaccaro JT, et al. Hydrostatic balloon dilatation of congenital esophageal stenosis associated with esophageal atresia. J Pediatr Surg. 2000;35:1742–5.

    Article  CAS  PubMed  Google Scholar 

  49. St. Peter SD, Valusek PA, Snyder CL, et al. Impact of suture choice on stricture formation following repair of esophageal atresia. Ann Pediatr Surg. 2007;3:78–82.

    Google Scholar 

  50. Chung J, Connoly B, Langer J, et al. Fluoroscopy-guided topical application of mitomycin-C in a case of refractory esophageal stricture. J Vasc Interv Radiol. 2010;21:152–5.

    Article  PubMed  Google Scholar 

  51. Heran MK, Baird R, Blair GK, et al. Topical mitomycin-C for recalcitrant esophageal strictures: a novel endoscopic/fluoroscopic technique for safe endoluminal delivery. J Pediatr Surg. 2008;43:815–8.

    Article  PubMed  Google Scholar 

  52. Altintas E, Kacar S, Tunc B, et al. Intralesional steroid injection in benign esophageal strictures resistant to bougie dilation. J Gastroenterol Hepatol. 2004;19:1388–91.

    Article  CAS  PubMed  Google Scholar 

  53. Kochhar R, Makharia GK. Usefulness of intralesional triamcinolone in treatment of benign esophageal strictures. Gastrointest Endosc. 2002;56:829–34.

    Article  PubMed  Google Scholar 

  54. Morikawa N, Honna T, Kuroda T, et al. High dose intravenous methylprednisolone resolves esophageal stricture resistant to balloon dilatation with intralesional injection of dexamethasone. Pediatr Surg Int. 2008;24:1161–4.

    Article  PubMed  Google Scholar 

  55. Holcomb III GW, Murphy JP. Ashcraft’s pediatric surgery. 5th ed. Philadelphia: Elsevier; 2010.

    Google Scholar 

  56. Holcomb III GW, Georgeson KE, Rothenberg SS. Atlas of pediatric laparoscopy and thoracoscopy. Philadelphia: Elsevier; 2009.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Surgery, Children’s Mercy Hospital, 2401 Gillham Road, Kansas City, MO, 64108, USA

    Shawn D. St. Peter MD

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  1. Shawn D. St. Peter MD
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Correspondence to Shawn D. St. Peter MD .

Editor information

Editors and Affiliations

  1. Medical University of Graz, Graz, Austria

    Holger Till

  2. Sheffield Children’s Hospital, Paediatric Gastroenterology Centre, Sheffield, United Kingdom

    Mike Thomson

  3. Division of Cardiothoracic Surgery, Department of Surgery, University of Minnesota Medical School, Minneapolis, Minnesota, USA

    John E. Foker

  4. Department Surgery, University of Missouri, Kansas City Children’s Mercy Hospital, Kansas City, Missouri, USA

    George W. Holcomb III

  5. University of Arizona, Tucson, Arizona, USA

    Khalid M. Khan

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St. Peter, S.D. (2017). Repair of Other Congenital Esophageal Anomalies. In: Till, H., Thomson, M., Foker, J., Holcomb III, G., Khan, K. (eds) Esophageal and Gastric Disorders in Infancy and Childhood. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-11202-7_17

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  • DOI: https://doi.org/10.1007/978-3-642-11202-7_17

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  • Online ISBN: 978-3-642-11202-7

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