Observation on the Clinical Efficacy of One-Stage Gastric Transposition in Type IIIA Esophageal Atresia

Objective: To explore the application and efficacy of one-stage gastric transposition in type IIIA esophageal atresia.Methods: 8 patients of type IIIA esophageal atresia who received one-stage gastric transposition treatment from March 2008 to June 2013 were analyzed. 6 male and 2 female babies were included in the study. And the distance of esophageal ends is greater than 3cm. Results:All procedures were completed, 6 cases were cured, 1 case died and 1 case refused further treatment after operation. 5 cases developed pneumonia postoperatively, and 2 cases had signs of stoma leakage. All cases were followed up for 6 months to 5 years. 3 cases had anastomotic stricture and they were cured by balloon dilation. 2 cases had mild gastroesophageal reflux but no anti-reflux procedure was needed. And gastroesophageal reflux symptoms were improved by smaller meals and appreciate the feeding treatment. Conclusions:One-stage gastric transposition is feasible and acceptable in treating type IIIA esophageal atresia in neonates, and it can avoid staging operation, shorten the treatment period, and help to improve the cure rate.