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The Journal of Thoracic and Cardiovascular Surgery, Vol 82, 198-202, Copyright © 1981 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Wide gap esophageal atresia with inaccessible upper pouch

JS Janik, JS Simpson and RM Filler

Circular myotomy of the proximal esophageal pouch has allowed end-to- end esophagoesophagostomy in infants with wide gap esophageal atresia. Occasionally, the proximal pouch ends so high in the thorax that the circular myotomy is technically impossible under conventional means. Exteriorization, mobilization, and myotomy of the proximal esophageal pouch via a separate cervical incision has allowed us to overcome this limitation of an inaccessible upper pouch and has permitted esophagoesophagostomy. This technique has been performed successfully in two infants with good results and no morbidity over a follow-up period of 1 1/2 to 3 1/2 years.




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Copyright © 1981 by The American Association for Thoracic Surgery.