The Foker process is a method of esophageal lengthening through axial tension-induced growth, allowing for subsequent primary reconstruction of the esophagus in esophageal atresia (EA). In this unique case, the Foker process was used to grow the remaining esophageal segment long enough to attain esophageal continuity following failed colonic interpositions for long-gap esophageal atresia (LGEA)...

insufficient control of post-thoracotomy pain can produce breathing dysfunction and long term staying in neonatal intensive care unit (nicu). it can increase the incidence of pulmonary complications such as atelectasis, pneumonia and respiratory failure. the aim of this study was to determine the analgesic effect of continuous extrapleural nerve block, using ropivacaine, in neonates younger tha...

A wide spectrum of variations can occur in esophageal atresia because of the complexity of tracheoesophageal development. We herein described a 0-day-old boy with type IIIb6 esophageal atresia. Esophagography revealed a long overlapping upper pouch that was similar to esophageal stenosis. Gastrostomy is useful for the therapeutic diagnosis of such a case.

Background: The management of dehiscence esophageal anastomosis is challenging and requires a multidisciplinary approach. Endoluminal vacuum therapy (EVT) has shown promising results. Case Presentation: Herein we present the data two cases with atresia who developed anastomotic leakage, during 2021-2022, underwent EVT. first case had 60% anastomosis, leak repair was performed followed by EVT pl...

After surgical correction of esophageal atresia with or without tracheoesophageal fistula, esophageal body motility dysfunction has been reported in nearly all patients. Using high-resolution esophageal manometry before surgical repair in 2 children with isolated tracheoesophageal fistula, we sought to determine whether dysmotility was present before any surgical insult to test the hypothesis t...

BACKGROUND/PURPOSE The treatment of long gap esophageal atresia remains a major surgical challenge. Whereas many approaches have been used for this problem, none are ideal. The authors used a technique originally described by Dr John E. Foker and accomplished early repair in 3 infants with long gap atresia. METHODS Three infants with esophageal atresia underwent thoracotomy shortly after birt...

The aim is to study the profile of congenital tracheoesophageal fistula with or without esophageal atresia with the effect of modalities of surgical and postoperative management on their outcome. Retrospective study of the records of all cases that had been diagnosed as congenital tracheoesophageal fistula with or without esophageal atresia treated at King Abdulaziz University Hospital, between...

Esophageal atresia with/without tracheo-esophageal fistula is a relatively common malformation, occurring in around 1 in 3500 births. In around half of cases, additional malformations are present, forming either a syndrome of known genetic aetiology, or a recognised association, of which the VACTERL association (Vertebral anomalies, Anal atresia, Cardiac malformations, Tracheo-Esophageal fistul...

Esophageal atresia (EA) is the most common type of gastrointestinal atresia. The most common variant (type C) consists of a blind esophageal pouch with a fistula between the trachea and the distal esophagus. Surgical repair can be complicated by the development of benign stricture. Most strictures are amenable to dilation, but refractory strictures may require surgical intervention. A 24-month-...

INTRODUCTION Thoracoscopic esophageal atresia (EA) repair was first performed in 1999, but still the technique is treated as one of the most complex pediatric surgical procedures. AIM The study presents a single-center experience and learning curve of thoracoscopic repair of esophageal atresia and tracheo-esophageal (distal) fistula. MATERIAL AND METHODS From 2012 to 2014, 10 consecutive pa...