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ORIGINAL ARTICLE
Year : 2016  |  Volume : 1  |  Issue : 1  |  Page : 34-36

Outcomes of gastric transposition for esophageal replacement among children at french medical institute for children, Kabul, Afghanistan (Case Series Study)


Pediatric Surgery Department, French Medical Institute for Children, Kabul, Afghanistan

Correspondence Address:
Abdul Jalil Wardak
Pediatric Surgery Department, French Medical Institute for Children, Kabul
Afghanistan
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Source of Support: None, Conflict of Interest: None


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Introduction: The technique is limited to benign conditions in children. The esophageal replacement includes intestinal interposition, gastric tube-Graviliu, and gastric transposition. Pulling stomach to neck as an esophagus has been accepted widely because of its stretch ability and the rich submucosal vasculature. Conditions such as esophageal atresia, caustic ingestion with persistent stricture, persistent peptic stricture, tumors, foreign body injury (battery) and Achalasia could affect the development and function of esophagus. Objectives: This research basically emphasizes on the procedure of gastric transposition and its indications, planning, and outcomes; therefore this study is aimed to determine the Gastric transposition for esophageal replacement outcomes among children. Methodology: Study was conducted in all the patients who underwent gastric transposition for esophageal replacement from 2012 to 2015. A total of 11 patients were included, 5 males and 6 females, age ranged from 4 days - 7 year old. Out of 11 patients 3 had type-1 esophageal atresia, 7 had persistent stricture due to caustic ingestion and 1 had foreign body injury. Results: No major complications during the surgery. The last patient has been followed for one year. Only 3 out of 11 patients underwent esophageal dilatation twice, therefore, the technique was accomplished successfully with excellent long-term outcome. Conclusion: With the relative high frequency of esophageal conditions, and the high mortality with late diagnosis, there is inherent importance in understanding the condition in pediatrics surgery practice in Afghanistan so as to improve survival.


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