Gastric Transposition for Oesophageal Replacement

Conclusion

Mortality of this procedure is in the region of 5% while the morbidity is significant and includes:

• ■ Anastomotic leak rate 12%

• ■ Anastomotic stricture rate 19.6%

• ■ Swallowing problems 30%

• ■ Delayed gastric emptying 8.7%

• ■ Complications with the jejunal feeding tube 4%

• ■ Dumping syndrome 3%

Most of the children prefer to take small frequent meals, although in the older children a normal eating pattern is generally established. Many of the patients grow at a slower rate than normal and are in the lower half of the growth charts for both weight and height. This applies particularly to children who are born with oesophageal atresia.