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Esophageal and Gastric Disorders in Infancy and Childhood pp 229–242Cite as

Surgical Methods to Increase Esophageal Length in Long (Wide)-Gap Esophageal Atresia with and Without Tracheoesophageal Fistula

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Abstract

The long (wide)-gap esophageal atresia (EA) has been a problem for pediatric surgeons but only affects 10–20 % of newborns with EA who are not immediately suitable for primary anastomosis. Between the 1950s and the 2000s, several methods to eventually bring both esophageal segments together have been employed with limited success; their ultimate aim is to return the patient’s original esophagus to full and normal use, thus avoiding the inevitable replacement.

Most lengthening procedures focused on the usually bigger and better developed upper esophageal pouch, some on both esophageal segments, and a few on the always small and poorly developed lower esophagus. In spite of the above trials and tribulations, the end results are fairly similar to the common esophageal repair, that is, a fairly reasonable, but not perfect, swallowing tube.

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Authors and Affiliations

  1. Adjunct Clinical Faculty, Department of Surgery, University of Toronto Faculty of Medicine, Toronto, ON, Canada

    Sigmund H. Ein MDCM, FRCSC, FAAP, FACS, MD

  2. Division of General and Thoracic Surgery, Hospital for Sick Children, 555 University Avenue, Rm 1526 – Roy L Hill Wing, Toronto, ON, M5G 1X8, Canada

    Sigmund H. Ein MDCM, FRCSC, FAAP, FACS, MD

  3. Department of Surgery, Lakeridge Health Corporation, Oshawa, ON, Canada

    Sigmund H. Ein MDCM, FRCSC, FAAP, FACS, MD

Authors
  1. Sigmund H. Ein MDCM, FRCSC, FAAP, FACS, MD
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Correspondence to Sigmund H. Ein MDCM, FRCSC, FAAP, FACS, 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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Ein, S.H. (2017). Surgical Methods to Increase Esophageal Length in Long (Wide)-Gap Esophageal Atresia with and Without Tracheoesophageal Fistula. 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_22

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  • DOI: https://doi.org/10.1007/978-3-642-11202-7_22

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