Jd. Urschel, TRANSPLANT DELAY WILL REDUCE ANASTOMOTIC COMPLICATIONS OF GASTRIC PULL UP FOR ISOLATED ESOPHAGEAL ATRESIA, Medical hypotheses, 40(6), 1993, pp. 379-380
Anastomotic dehiscence is a major source of mortality after gastric pu
ll up reconstruction for isolated esophageal atresia. Inadequate blood
supply is a leading etiologic factor for dehiscence. To enhance vascu
larity of the stomach, and thereby reduce anastomotic complications, l
aparoscopic partial gastric devascularization 14 days prior to gastric
pull up is proposed. The reconstructive principle of skin flap delay
is applied to the gastric pull up procedure.