Suture fistula revisited for long gap esophageal atresia

Janek, Kevin C.; Meagher, David P.; Goodwin, Charles D.

doi:10.1016/j.jpedsurg.2018.10.100

Cited by 5 publications

(2 citation statements)

References 10 publications

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“…(4) A recent report, describing three single center cases since 1992, showed that this technique has been successfully applied in 24 patients since 1974. (5) A novel promising way to create a deliberate fistula in EA patients may be magnamosis, as lately reported by Conforti et al (6) These strategies may serve as an escape when a primary anastomosis cannot be made.…”

Section: Accepted Manuscriptmentioning

confidence: 95%

Unintentional Suture Fistula Between the Proximal and Distal Esophagus in a Preterm Neonate with Type C Esophageal Atresia

Menso,

Reijntjes,

Mussies

et al. 2023

European J Pediatr Surg Rep.

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We present the case of a patient with Gross type C esophageal atresia in a preterm neonate (gestational age 31+1) with a birth-weight of 1470 grams. The fistula was released via a thoracotomy, but no primary anastomosis could be made, due to an unexpected long gap. The distal esophagus was closed and approximated to the blind pouch using traction sutures until an adjacent position was reached. A gastrostomy was created for enteral feeding. Although a second attempt to make an anastomosis was unsuccessful, the patient unexpectedly developed a suture fistula six weeks after the first procedure, enabling feeding via a nasogastric tube. Over time, six dilations were necessary. Full enteral feeding was achieved at the age of six months. Our case confirms sparse reports that deliberately creating a suture fistula may be a solution in esophageal atresia patients when an unexpected long gap prohibits a primary anastomosis.

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Section: Accepted Manuscriptmentioning

confidence: 95%

Unintentional Suture Fistula Between the Proximal and Distal Esophagus in a Preterm Neonate with Type C Esophageal Atresia

Menso,

Reijntjes,

Mussies

et al. 2023

European J Pediatr Surg Rep.

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“…[2] Type A EA is often long-gaped-when the distance between the esophageal ends is >3 cm or >4 vertebral bodies. [3,4] The main surgical goal in cases with long-gap EA is to restore continuity in the native esophagus, which can be challenging to achieve. [2,4,5] These cases are usually managed in stages with esophagostomy and gastrostomy as the first stage followed by esophageal replacement, but the native esophagus is discarded.…”

Section: Introductionmentioning

confidence: 99%

Extrathoracic esophageal elongation with Foker technique in patients with Type-A esophageal atresia. A case series

Lin,

Polit-Guerrero,

Andrade-Montesdeoca

et al. 2023

J Neonatal Surg

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Background: Long-gap esophageal atresia (EA) is not amenable to primary anastomosis though the goal of surgical treatment is to restore the patency in the native esophagus; the Foker technique is one of the methods that can accomplish it. Case Presentation: This case series consists of three patients who presented with a type-A long-gap EA. Extrathoracic esophageal elongation was achieved using the Foker technique. During the first stage, we utilized pledgeted sutures reinforced with titanium clips for elongation that began five days after the surgery. As the elongation progressed, and the gap between esophageal pouches decreased, we restored the continuity of the esophagus. On follow-up, all patients needed pneumatic dilatation of the esophagus. Conclusion: The Foker technique successfully restored the esophageal continuity using the native esophagus in our patients with esophageal atresia.

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The novel application of an emerging device for salvage of primary repair in high-risk complex esophageal atresia

Chen¹,

Muensterer²,

Sahlabadi³

et al. 2022

Journal of Pediatric Surgery

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Suture fistula revisited for long gap esophageal atresia

Cited by 5 publications

References 10 publications

Unintentional Suture Fistula Between the Proximal and Distal Esophagus in a Preterm Neonate with Type C Esophageal Atresia

Unintentional Suture Fistula Between the Proximal and Distal Esophagus in a Preterm Neonate with Type C Esophageal Atresia

Extrathoracic esophageal elongation with Foker technique in patients with Type-A esophageal atresia. A case series

The novel application of an emerging device for salvage of primary repair in high-risk complex esophageal atresia

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