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2007 | 79 | 12 | 785-789

Article title

Exceptionally Late Reconstruction of the Esophagus for Congenital Atresia


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In this case report, the treatment history of a woman with congenital esophageal atresia is presented. She underwent thoracotomy immediately after birth, but the distance between two atresic parts of the esophagus (7cm) did not allow for a primary anastomosis. Gastric and salivary fistulas were constructed. A salivary fistula was made in the cervical part of the esophagus. For 21 years, the patient received nutrition only by gastrostomy. Her physical and mental conditions were normal. She underwent esophageal reconstruction of the last segment of the ileum, coecum, and ascending colon and began oral feeding when she was 21 years old.








Physical description


1 - 12 - 2007
11 - 2 - 2008


  • Department and Clinic of Gastrointestinal and General Surgery, Medical University, Wrocław
  • Department and Clinic of Gastrointestinal and General Surgery, Medical University, Wrocław
  • Department and Clinic of Gastrointestinal and General Surgery, Medical University, Wrocław


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  • Goyal A, Jones MO, Couriel JM et al.: Oesophageal atresia and tracheo-esophageal fistula. Arch Dis Child Fetal Neonatal Ed 2006; 91: 381-84.[Crossref]
  • Sugito K, Koshinaga T, Hoshino M et al.: Study of 24 cases with congenital esophageal atresia: what are the risk factors? Pediatr Int 2006; 48: 616-21.
  • Kovesi T, Rubin S. Long-term complications of congenital esophageal atresia and/or tracheoesophageal fistula. Chest 2004; 126: 915-25.[PubMed][Crossref]
  • Vasudevan SA, Kerendi F, Lee H et al.: Management of congenital esophageal stenosis. J Pediatr Surg 2002; 37: 1024-26.[Crossref][PubMed]
  • Yang CF, Soong WJ, Jeng MJ et al.: Esophageal atresia with tracheoesophageal fistula: ten years of experience in an institute. J Chin Med Assoc 2006; 69: 317-21.[Crossref]
  • Konkin DE, O'Hali WA, Webber EM et al.: Outcomes in esophageal atresia and tracheoesophageal fistula. J Pediatr Surg 2003; 38: 1726-29.[PubMed][Crossref]
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  • Seguier-Lipszyc E, Bonnard A, Aizenfisz S et al.: The management of long gap esophageal atresia. J Pediatr Surg 2005; 40: 1542-46.[Crossref]
  • Ludman L, Spitz L: Quality of life after gastric transposition for oesophageal atresia. J Pediatr Surg 2003; 38: 53-57.[PubMed][Crossref]
  • Rao KL, Menon P, Samujh R et al.: Fundal tube esophagoplasty for esophageal reconstruction in atresia. J Pediatr Surg 2003; 38: 1723-25.[Crossref][PubMed]
  • Bax NM, van der Zee DC: Jejunum pedicle grafts for reconstruction of the esophagus in children. J Pediatr Surg 2007; 42: 363-69.[Crossref][PubMed][WoS]
  • Cauchi JA, Buick RG, Gornall P et al.: Oesophageal substitution with free and pedicled jejunum: short- and long-term outcomes. Pediatr Surg Int 2007; 23: 11-19.[WoS]
  • Martnez-Ferro M, Rubio M, Piaggio L et al.: Thoracoscopic approach for congenital esophageal stenosis. J Pediatr Surg 2006; 41: E5-7.[Crossref]
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