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Original ArticleOpen Access
Early Complications of Gastric Transposition Operation
Ruangtrakool R 
Gastric transpositiOn was performed in 100 children as a definitive procedure for
oesophageal replacement between 1982 and 1997 for 69 oesophageal atresia ( 41 with distal
tracheooesophageal fistula, 20 isolated oesophageal atresia and 8 with proximal tracheooeso-
phageal fistula), 16 severe caustic stricture, 7 intractable peptic reflux stricture and 8 miscella-
neous causes. Six mortalities were recorded. Sixty-five patients had complications postopera-
tively and respiratory complication was the most common complication especially in oesopha-
geal atresia patients. Swallowing difficulty, particularly in oesophageal atresia, occurred in 21
per cent of the patients. Ten patients developed cervical leakage with spontaneous closure and
8 patients suffered from anastomosis stricture. Six jejunostomy revisions were required. Three
of five pyloromyotomy obtained inadequate gastric drainage post gastric transposition and
required the conversion to pyloroplasty. Because of the distinctive low major life-threatening
morbidity and low mortality, we concluded that gastric transposition was a safe, easy and
preferable procedure for oesophageal replacement in children.
Key word
: Adolescence, Anastomosis, Surgical, Child, Preschool, Deglutition/psysiology. Esopha-
geal Atresia/surgery, Esophageal Substitute, Esophageal Diseases/surgery, Esophagec-
tomy/methods, Complication, Follow-Up Studies, Gastric Emptying/physiology,
Human, Infant, Stomach/surgery, Survival Rate, Weight Gain
oesophageal replacement between 1982 and 1997 for 69 oesophageal atresia ( 41 with distal
tracheooesophageal fistula, 20 isolated oesophageal atresia and 8 with proximal tracheooeso-
phageal fistula), 16 severe caustic stricture, 7 intractable peptic reflux stricture and 8 miscella-
neous causes. Six mortalities were recorded. Sixty-five patients had complications postopera-
tively and respiratory complication was the most common complication especially in oesopha-
geal atresia patients. Swallowing difficulty, particularly in oesophageal atresia, occurred in 21
per cent of the patients. Ten patients developed cervical leakage with spontaneous closure and
8 patients suffered from anastomosis stricture. Six jejunostomy revisions were required. Three
of five pyloromyotomy obtained inadequate gastric drainage post gastric transposition and
required the conversion to pyloroplasty. Because of the distinctive low major life-threatening
morbidity and low mortality, we concluded that gastric transposition was a safe, easy and
preferable procedure for oesophageal replacement in children.
Key word
: Adolescence, Anastomosis, Surgical, Child, Preschool, Deglutition/psysiology. Esopha-
geal Atresia/surgery, Esophageal Substitute, Esophageal Diseases/surgery, Esophagec-
tomy/methods, Complication, Follow-Up Studies, Gastric Emptying/physiology,
Human, Infant, Stomach/surgery, Survival Rate, Weight Gain
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