الفهرس | Only 14 pages are availabe for public view |
Abstract The decision to replace the esophagus of a child is one of the difficult decisions a pediatric surgeon must make. The main reported requirements for esophageal replacement in children are proactive corrosive strictures and long-gap esophageal atresia. Although most surgeons attempted to keep the naive esophagus, there is sometimes no alternative except esophageal replacement. There is no esophageal replacement technique that fully replicates the features of the normal esophagus. The ideal esophageal conduit should allow normal feeding, doesn’t cause respiratory compromise, avoid tortuosity or redundancy, minimal gastroesophageal reflux, doesn’t increase the risk of malignancy, functioning adequately for the whole life of the patients, should be technically adapted for small children, and replacement outcomes must be reproducible by all the surgeons. It’s crucial for the pediatric surgeons to consider the different options available for replacement. The aim of this study is to evaluate gastric tube for esophageal replacement at Pediatric Surgery Unit, Alexandria University as regard outcomes and complications. |