EN
TÜRKÇE
Poster - 50
REVERSED GASTRIC TUBE ESOPHAGOPLASTY IN LONG GAP ESOPHAGEAL ATRESIA : SHORT AND LONG-TERM POST OPERATIVE COMPLICATIONS
H Drissi*, M Oumaya**, Y Ben Ahmed*, A Ben Younes**, MS Jlidi**
*Hopital pour enfants Tunis
**Hopital pour enfants de tunis
Background :
Esophagoplasty with reversed gastric tube can be performed in children with long gap esophageal atresia. In view of the paucity of studies on the results of this type of surgery in children, we conducted this study to describe the postoperative results of patients who were operated.
Methods :
We conducted a retrospective descriptive monocentric study over a 10-year period (December 2010 to December 2020). We included children who had esophagoplasty by reversedgastric tube for long gap esophageal atresia (LGEA) in the Pediatric Surgery Department “B” at Children Hospital Bechir Hamza of Tunis.
Results :
We included 10 patients in our study. There were 6 males and 4 females, with a mean age of 17,7 years. The average follow-up in our study was 5 years. An anastomotic fistula was noted in 5 cases and an anastomotic stricture was reported in 5 cases. Supra-anastomotic reflux was identified in 7 cases. After a minimum of 2 years post-operatively, All patients were exclusively on oral feeding. 4 patients have experienced dysphagia, due to a tight stricture, and required endoscopic dilations. Growth and weight gain were normal in 9 patients.
Conclusion :
EGP using Gavriliu procedure may be used safely in children who require esophageal substitution. The resulting long-term quality of life is acceptable and patients mostly have good functional outcome. However, digestive tract symptoms like dysphagia may last during the whole postoperative period and alter the functional prognosis.