Heterotopic gastric mucosa of the upper esophagus following repair of esophageal atresia with tracheoesophageal fistula

Abstract A term female newborn underwent uncomplicated repair of esophageal atresia with tracheoesophageal fistula (type C) then coarctation of the aorta. Subsequently, she developed symptomatic esophageal strictures, which required serial dilations. In addition, she suffered feeding intolerance fro...

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Bibliographic Details
Published in:Journal of pediatric surgery 2011, Vol.46 (1), p.e37-e39
Main Authors: Tran, Sifrance, Misra, Sudipta, Bittner, James G, Pipkin, Walter, Hatley, Robyn, Howell, Charles G
Format: Article
Language:English
Subjects:
Choristoma - pathology
Choristoma - surgery
Endoscopy
Esophageal Atresia - surgery
Esophageal Motility Disorders - etiology
Esophageal Motility Disorders - surgery
Esophageal Stenosis - etiology
Esophageal Stenosis - surgery
Esophagus
Female
Gastric Mucosa
Gastroesophageal Reflux - etiology
Gastroesophageal Reflux - surgery
Heterotopic gastric mucosa
Humans
Infant, Newborn
Inlet patch
Pediatrics
Postoperative Complications - etiology
Postoperative Complications - surgery
Surgery
Tracheoesophageal atresia
Tracheoesophageal Fistula - surgery
Treatment Outcome
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Summary:Abstract A term female newborn underwent uncomplicated repair of esophageal atresia with tracheoesophageal fistula (type C) then coarctation of the aorta. Subsequently, she developed symptomatic esophageal strictures, which required serial dilations. In addition, she suffered feeding intolerance from esophageal dysmotility and gastroesophageal reflux disease, necessitating Nissen fundoplication with gastrostomy. At 6 years of age, surveillance esophagogastroduodenoscopy revealed mild stenosis and heterotopic gastric mucosa of the upper esophagus at the level of the anastomosis. This is the second report of heterotopic gastric mucosa of the upper esophagus at the level of the anastomosis following repair of esophageal atresia with tracheoesophageal fistula.
ISSN:0022-3468
1531-5037
DOI:10.1016/j.jpedsurg.2010.09.010