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

• Authors: Mariusz Sroka , Piotr Czauderna , Piotr Landowski
• Languages of publication: EN

Abstracts

EN

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.

Keywords

EN

ultra long gap esophageal atresia; esophageal lengthening; Foker's operation; Kimura's operation; salivary fistula; spit fistula

• Publisher: Index Copernicus International
• Journal: Polish Journal of Surgery
• Year: 2009
• Volume: 81
• Issue: 3
• Pages: 129-134

Dates

published

1 - 3 - 2009

online

8 - 9 - 2009

Contributors

author

Mariusz Sroka

• Department of Surgery and Urology for Children and Adolescents, Medical University of Gdańsk

author

Piotr Czauderna

• Department of Surgery and Urology for Children and Adolescents, Medical University of Gdańsk

author

Piotr Landowski

• Department of Pediatrics, Gastroenterology, Hepatology and Nutrition, Medical University of Gdańsk

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Identifiers

DOI

10.2478/v10035-009-0018-9