TY  - CHAP
M1  - Book, Section
TI  - Congenital Disorders of the Esophagus in Infants and Children
A1  - Hendren, W. Hardy
A1  - Weldon, Christopher B.
A2  - Sugarbaker, David J.
A2  - Bueno, Raphael
A2  - Colson, Yolonda L.
A2  - Jaklitsch, Michael T.
A2  - Krasna, Mark J.
A2  - Mentzer, Steven J.
A2  - Williams, Marcia
A2  - Adams, Ann
PY  - 2015
T2  - Adult Chest Surgery, 2e
AB  - This  chapter  presents  the  most  common  congenital  malformations  of  the  esophagus  that  require  surgical  correction  in  infants  and  children.  Today,  most  of  these  entities  can  be  corrected,  and  a  child  can  lead  a  normal  life  after  surgery.  That  was  not  true  until  1939,  when  Logan  Leven  of  Minneapolis1  and  William  E.  Ladd  of  Boston2  independently  saved  a  newborn  with  esophageal  atresia  on  the  same  date!  The  operation  consisted  of  dividing  the  tracheoesophageal  fistula  (TEF),  marsupializing  the  blindly  ending  upper  esophageal  pouch,  and  feeding  the  baby  temporarily  through  a  gastrostomy.  Later,  a  multistaged  reconstruction  was  performed  to  make  an  antethoracic  esophageal  substitute,  which  was  placed  subcutaneously  anterior  to  the  sternum.  The  lower  two-thirds  of  this  conduit  consisted  of  a  Roux-en-Y  loop  of  upper  jejunum  that  bypassed  the  stomach  and  duodenum.  The  upper  third  of  the  conduit  was  a  tubularized  full-thickness  graft  comprised  of  skin  and  subcutaneous  tissue.  This  was  used  to  bridge  the  gap  between  the  upper  esophageal  segment,  which  had  been  marsupialized  in  the  neck,  and  the  Roux-en-Y  loop,  which  was  brought  up  to  the  level  of  the  upper  sternum.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/20
UR  - accesssurgery.mhmedical.com/content.aspx?aid=1105840938
ER  -