TITLE

Laparoscopic Resection of Esophageal Stricture with Transgastric Stapled Anastomosis in a Child with AIDS

AUTHOR(S)
Sidler, Daniel; Salzmann, Gian M.; Juzi, Jonathan T.; Moore, Sam W.
PUB. DATE
June 2006
SOURCE
Journal of Laparoendoscopic & Advanced Surgical Techniques;Jun2006, Vol. 16 Issue 3, p331
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
A tight stricture in the lower esophageal stricture in a child poses significant surgical challenges. We report the first case of a laparoscopically assisted resection of a distal esophageal stricture in a 2-year-old girl with clinical AIDS (CDC stage 3). The patient presented with dysphagia, vomiting, and progressive weight loss. A barium swallow confirmed a distal tight esophageal stricture in the lower esophagus. After the second dilatation attempt failed a gastrostomy was inserted and highly active antiretroviral therapy treatment commenced. Follow-up contrast studies showed a nearly complete obstruction of the distal esophagus. A laparoscopically assisted resection of the esophageal stricture with a primary stapled anastomosis was performed with good results. At follow-up 8 months postoperative the child was tolerating feeds well and thriving.
ACCESSION #
21329590

 

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