An Approximation Technique for Primary Anastomosis (Gazi Method) In Selected Cases of Long Gap Esophageal Atresia View PDF

^*Ramazan Karabulut
Department Of Pediatric Surgery, Medical Faculty, Gazi University, Ankara, Turkey

^*Corresponding Author:

Ramazan Karabulut
Department Of Pediatric Surgery, Medical Faculty, Gazi University, Ankara, Turkey
Email:karabulutr@yahoo.com

Published on: 2014-04-02

Abstract

The authors describe a technique of approximation and primary repair (Gazi method) for selected long gap esophageal atresia (LEA).Five infants underwent repair for LEA. The distal fistula was divided and oversewn. The upper and lower ends of the esophagus were dissected and excessively mobilized. Both of the esophageal ends were grabbed approximately 1 cm away from the anastomotic line with gentle tissue forceps to reduce the tension.

Keywords

Long gap esophageal atresia; New method, Newborn

Introduction

Treatment of long gap esophageal atresia (LEA) is still a major challenge. Although it is generally accepted that the best results are obtained if native esophagus is preserved, this may be difficult to achieve technical refinements have been advised to mobilize and lengthen both esophageal pouches, including circular myotomies, esophageal flap, continuous suture traction with reoperation, and multi staged extra thoracic elongation of the proximal esophagus.