Esophageal substitution in children is a rare and challenging surgery. The minimally invasive approach for esophageal substitution is novel and reported from a few centers worldwide. While detailed report on the various complications of this approach has been discussed in adult literature, the pediatric experience is rather limited. We report the laparoscopic management of a rare complication which developed after laparoscopic esophagectomy and esophageal substitution. The timely recognition and management by the minimally invasive approach have been highlighted.
Fifty patients with upper abdominal pain which was suggestive of duodenal ulcer were studied. They each had a standard augmented histamine test (AHT) followed by a barium meal and fibreoptic endoscopy. The accuracy of the test was assessed against the endoscopy result. The study suggested that augmented histamine test may be useful as a screening for patients with dyspepsia suggestive of peptic ulcer and to streamline further investigations.
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