Full-text resources of PSJD and other databases are now available in the new Library of Science.
Visit https://bibliotekanauki.pl


Preferences help
enabled [disable] Abstract
Number of results
2009 | 81 | 3 | 129-134

Article title

Treatment of Ultra Long-Gap Esophageal Atresia. Own Experience based on Combined Foker and Kimura Technique


Title variants

Languages of publication



The aim of the study. Authors present their own experience in the treatment of ultra long-gap esophageal atresia using combined Kimura's and Foker's methods, while the latter one to our best knowledge has been used for the first time in Poland.Material and methods. Multi-stage process of treatment was used in four patients. In three of them, in case of previous spit fistula presence, Foker's and Kimura's methods were simultaneously applied. In one of the patients without the spit fistula, only Foker's method was used.Results. Only patients, who completed treatment were discussed: in two of them esophageal anastomosis was achieved, however in one case delayed perforation of esophagus occurred during an attempt of intrathoracic correction of the huge hiatal hernia.Conclusions. In the authors' opinion Foker's method, eventually in combination with Kimura's technique (in cases of previous spit fistula), seems to be a promising option for the treatment of ultra longgap esophageal atresia. It allows to save the patients' own esophagus, and in case of the treatment failure it does not preclude the future use of other methods of esophageal substitution.








Physical description


1 - 3 - 2009
8 - 9 - 2009


  • Department of Surgery and Urology for Children and Adolescents, Medical University of Gdańsk
  • Department of Surgery and Urology for Children and Adolescents, Medical University of Gdańsk
  • Department of Pediatrics, Gastroenterology, Hepatology and Nutrition, Medical University of Gdańsk


  • Boyle EM Jr, Irwin ED, Foker JE: Primary repair of ultra-long-gap esophageal atresia: results without a lengthening procedure. Ann Thorac Surg 1994; 57(3): 576-79.[Crossref]
  • Foker JE, Linden BC, Boyle EM Jr et al.: Development of a true primary repair for the full spectrum of esophageal atresia. Ann Surg 1997; 226(4): 533-41; discussion 541-43.[Crossref]
  • Coran AG: Ultra-long-gap esophageal atresia: how long is long? Ann Thorac Surg 1994; 57(3): 528-29.[Crossref]
  • Spitz L, Kiely E, Sparnon T: Gastric transposition for esophageal replacement in children. Ann Surg 1987; 206(1): 69-73.[PubMed][Crossref]
  • Spitz L, Kiely E, Pierro A: Gastric transposition in children - a 21-year experience. J Pediatr Surg 2004; 39(3): 276-81; discussion 276-81.[Crossref]
  • Kamiński A, Szymczak M, Broniszczak D i wsp.: Wstawka z jelita cienkiego - jeden ze sposobów leczenia wstecznego odpływu żołądkowo-przełykowego po rekonstrukcji przełyku z okrężnicy. Pediatria Współczesna. Gastroenterologia, Hepatologia i Żywienie Dziecka 2002; 4(2): 155-59.
  • Ring WS, Varco RL, L'Heureux PR et al.: Esophageal replacement with jejunum in children: an 18 to 33 year follow-up. J Thorac Cardiovasc Surg 1982; 83(6): 918-27.
  • Borgnon J, Tounian P, Auber F et al.: Esophageal replacement in children by an isoperistaltic gastric tube: a 12-year experience. Pediatr Surg Int 2004; 20(11-12): 829-33.
  • Hirschl RB, Yardeni D, Oldham K et al.: Gastric transposition for esophageal replacement in children: experience with 41 consecutive cases with special emphasis on esophageal atresia. Ann Surg 2002; 236(4): 531-39; discussion 539-41.[Crossref]
  • Anderson KD, Noblett H, Belsey R et al.: Longterm follow-up of children with colon and gastric tube interposition for esophageal atresia. Surgery 1992; 111(2): 131-36.
  • Kimura K, Soper RT: Multistaged extrathoracic esophageal elongation for long gap esophageal atresia. J Pediatr Surg 1994; 29(4): 566-68.[WoS][PubMed][Crossref]
  • Kimura K, Nishijima E, Tsugawa C et al.: Multistaged extrathoracic esophageal elongation procedure for long gap esophageal atresia: Experience with 12 patients. J Pediatr Surg 2001; 36(11): 1725-27.[PubMed]
  • Foker JE, Kendall TC, Catton K et al.: A flexible approach to achieve a true primary repair for all infants with esophageal atresia. Semin Pediatr Surg 2005; 14(1): 8-15.[Crossref][PubMed]
  • Saeki M, Tsuchida Y, Ogata T et al.: Long-term results of jejunal replacement of the esophagus. J Pediatr Surg 1988; 23(5): 483-89.[PubMed][Crossref]
  • Cusick EL, Batchelor AA, Spicer RD: Development of a technique for jejunal interposition in long-gap esophageal atresia. J Pediatr Surg 1993; 28(8): 990-94.[WoS][PubMed][Crossref]
  • Hendren WH, Hendren WG: Colon interposition for esophagus in children. J Pediatr Surg 1985; 20(6): 829-39.[Crossref][PubMed]
  • Kim S, Gotway MB, Webb WR et al.: Tracheal compression by the stomach following gastric pullup: diagnosis with CT and treatment with expandable metallic stent placement. Chest 2002; 121(3): 998-1001.[Crossref]
  • Ernst A: Metal stenting as first-line therapy for tracheal compression after gastric pull-up. Chest 2002; 122(6): 2269.[Crossref][PubMed]
  • Johansson J, Johnsson F, Groshen S et al.: Pharyngeal reflux after gastric pull-up esophagectomy with neck and chest anastomoses. J Thorac Cardiovasc Surg 1999; 118(6): 1078-83.
  • van der Zee DC, Vieirra-Travassos D, Kramer WL et al.: Thoracoscopic elongation of the esophagus in long gap esophageal atresia. J Pediatr Surg 2007; 42(10): 1785-88.[WoS]

Document Type

Publication order reference


YADDA identifier

JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.