TY - CHAP M1 - Book, Section TI - Congenital Disorders of the Esophagus in Infants and Children A1 - Svetanoff, Wendy Jo A1 - Hendren, W. Hardy A1 - Weldon, Christopher B. A1 - Jennings, Russell W. A2 - Sugarbaker, David J. A2 - Bueno, Raphael A2 - Burt, Bryan M. A2 - Groth, Shawn S. A2 - Loor, Gabriel A2 - Wolf, Andrea S. A2 - Williams, Marcia A2 - Adams, Ann Y1 - 2020 N1 - T2 - Sugarbaker’s Adult Chest Surgery, 3e 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 near normal life after surgery. That was not true until 1939, when Logan Leven of Minneapolis1 and William E. Ladd of Boston2 independently each saved a newborn with esophageal atresia on the same date! The operation consisted of dividing the tracheoesophageal fistula (TEF), marsupializing the blind-ending upper esophageal pouch as an esophagostomy, and feeding the baby temporarily through a gastrostomy. Later, a multistaged reconstruction was performed to make an ante-thoracic esophageal substitute, which was placed subcutaneously anterior to the sternum.3 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 composed 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.3 SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accesssurgery.mhmedical.com/content.aspx?aid=1170408628 ER -