Title

Atretic esophagus: transgastric balloon-assisted hydrostatic dilation

UMMS Affiliation

Department of Radiology

Date

6-1-1989

Document Type

Article

Subjects

Anastomosis, Surgical; Balloon Dilatation; Esophageal Atresia; Humans; Infant, Newborn; Male

Disciplines

Life Sciences | Medicine and Health Sciences

Abstract

Esophageal atresia may be associated with a long interval or gap between the upper and lower pouches. Despite a variety of procedures to elongate the esophagus, surgeons have been unable to achieve esophageal continuity in many patients. Three infants with esophageal atresia and long gaps recently underwent hydrostatic dilation of the distal esophageal pouch followed by primary anastomosis. The technique entailed passing a balloon-tipped catheter through a gastrostomy site to the distal esophageal pouch. The balloon was inflated to a diameter sufficient to occlude the distal esophagus. Dilute contrast material was then infused under fluoroscopic visualization to a maximal pressure of 145 cm H2O. Dilations were performed daily over a 2-week period, followed by surgery. Primary anastomosis was accomplished in all patients. The promising results in these patients should stimulate other investigators to assess this technique in infants with this challenging surgical problem.

Rights and Permissions

Citation: Radiology. 1989 Jun;171(3):831-3.

Related Resources

Link to Article in PubMed

Journal Title

Radiology

PubMed ID

2717760