Erudition after neonatal gastric transposition for esophageal atresia at 10 years of follow-up

Authors

  • Kanika Sharma Institute of Medical Sciences- Banaras Hindu University
  • Shilpa Sharma All India Institute of Medical Sciences, New Delhi, India
  • Devendra Kumar Gupta Super specialty Pediatric Hospital & Postgraduate Teaching Institute, Noida, India

DOI:

https://doi.org/10.47338/jns.v10.981

Keywords:

Esophageal replacement, Gastric transposition, Neonate, Gastric pull up

Abstract

Background: Gastric transposition (GT) is a well-established procedure of esophageal re­placement (ER) for children with esophageal atresia. ER in the neonatal period is sparsely reported. We report characteristics of children who have undergone neonatal GT and have completed ten years of follow-up.

Methods: The cross-sectional study was conducted which included all children who under­went neonatal GT at the institute and have completed a follow-up of at least 10-years. An­thropometry, oral contrast study, Hepatobiliary Scintigraphy, Gastroesophageal reflux study, Gastric emptying test, spirometry, and blood investigations were done for all the children.

Results: Four children (three male and one female) were included in the study. The mean age at ER was 5.3 ±2.2 days with a mean birth-weight of 2.43 ±0.13 kg. Two children had prima­ry GT, while the other two had GT following a leak in primary anastomosis. During the mean follow-up of 180.25 ±43.5 months, none of the children required esophageal dilatation or other surgical intervention or procedures. All children were below 3rd centile for weight-for-age while all except one were below 50th centile for height-for-age. There was no stricture on oral contrast study, however, one child had grade III reflux on GER scan. Persistent duode­nogastric reflux on HIDA scan was seen in one child. Three children had restrictive parame­ters on spirometry. Symptomatically, all reported poor weight gain, one had left vocal cord palsy with hoarseness, and one had chest-wall protuberance.    

Conclusions: Neonatal gastric transposition is a feasible alternative to delayed esophageal replacement for neonates with esophageal atresia with limited complications.

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Author Biographies

Shilpa Sharma, All India Institute of Medical Sciences, New Delhi, India

Dr. Shilpa Sharma

Additional Professor, Department of Pediatric Surgery

Room no. 4002, 4thfloor, Academic block,

All India Institute of Medical Sciences, New Delhi-110029, INDIA

E-mail: drshilpas@gmail.comTelephone no- +91-9810863996

Devendra Kumar Gupta, Super specialty Pediatric Hospital & Postgraduate Teaching Institute, Noida, India

Professor Devendra Kumar Gupta

Director and CEO,

Professor and Head, Department of Pediatric Surgery,

Super specialty Pediatric Hospital & Postgraduate Teaching Institute, 

Sector-30, Noida-201303, India. Email: profdkgupta@gmail.com

Former Professor & Head, Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.

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Published

2021-08-07

How to Cite

1.
Sharma K, Sharma S, Gupta DK. Erudition after neonatal gastric transposition for esophageal atresia at 10 years of follow-up. J Neonatal Surg [Internet]. 2021Aug.7 [cited 2021Sep.21];10:37. Available from: https://www.jneonatalsurg.com/ojs/index.php/jns/article/view/981

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Original Article