Internal traction as a surgical option in type III long-gap esophageal atresia: A case series

• DOI: 10.1016/j.epsc.2023.102671
• Publication Date: 2023-05-26T21:21:16Z
• Authors: Darling Zamorano; Marcela Santos; Alicia Gómez; Isidora Lavado; Miguel Guelfand
• Keywords: Esophageal dilatation

Long-gap esophageal atresia (LGEA) is an important challenge for pediatric surgeons. Multiple techniques have been described to restore the continuity in patients with this complex condition. The aim of study describe our experience and results repair type III LGEA using thoracoscopic internal traction without gastrostomy. A retrospective review three who underwent Pediatric Surgery Service Exequiel González Cortés Children's Hospital between 2018 2022 was performed. were newborns 36 39 weeks gestational age, a birth weight 1800 3000 g. All them diagnosed LGEA. They same procedure, which consisted bags Prolene ® sutures clips each bag its fixation. mean age 2.3 days at first intervention 16 anastomosis. An esophagram performed one week after anastomosis showed no signs leakage or stricture. Median follow-up 27 months (range, 10 - 4 years). Two developed stricture 6 required endoscopic dilation. gastroesophageal reflux, managed medically. In experience, technique delayed safe option III. addition, postoperative complications commonly seen tight end-to-end anastomoses are avoided.