{"id":211,"date":"2024-06-12T05:02:10","date_gmt":"2024-06-12T05:02:10","guid":{"rendered":"https:\/\/www.paedsurgeryindelhi.com\/blog\/?p=211"},"modified":"2024-06-12T05:08:38","modified_gmt":"2024-06-12T05:08:38","slug":"gastric-pull-up-surgery-in-children","status":"publish","type":"post","link":"https:\/\/www.paedsurgeryindelhi.com\/blog\/gastric-pull-up-surgery-in-children\/","title":{"rendered":"Gastric Pull Up Surgery In Children"},"content":{"rendered":"\n<p>One year old female baby presented as a case of pure esophageal atresia and had underwent feeding gastrostomy and cervical esophagostomy in the neonatal period. The baby was admitted for definitive repair. The baby underwent Gastric pull up surgery. Gastric pull-up, also known as gastric transposition, is a surgical procedure that replaces a section of the child\u2019s damaged or otherwise underdeveloped esophagus with stomach which is pulled up or lifted from the tissues in the abdomen and brought up and reconnected to the remaining upper esophagus to restore the ability to swallow and for food to travel down via the stomach and into the intestines. This allows the child to eat normally. This is also known as esophageal replacement surgery as other organs can also be replaced, in case stomach is not available, like small intestine and colon.<\/p>\n<p>A variety of conditions may require a gastric pull-up operation, particularly in infants and children. As no replacement works as well as the child\u2019s own esophagus, every effort will be made to repair or salvage the esophagusthe child may require a gastric pull-up due to the following conditions:<\/p>\n<ul class=\"list01\">\n<li>Ingestion of a toxic or corrosive substance \u2013 corrosive injuries<\/li>\n<li>Improper formation of the esophagus at birth \u2013 Esophageal atresia<\/li>\n<\/ul>\n<p>This surgery may require abdominal, throat or chest incisions depending on the severity of damage. Typically the child will receive intravenous (IV) nutrition for the first two days after the operation and then he is started on jejunostomy feeds \u2013 which is a  through a tube which is placed in the intestine at the time of the operation. At the 7th postoperative day a dye study is done in x-ray to check for the healing of the anastomosis and then the child is allowed to have liquids by mouth. Gradually semisolids are introduced orally and feeding is done in head up position so as to prevent reflux of the acidic contents.<\/p>\n<p>As withany surgical procedure, there are possible short and long-term complications. Potential risks include:<\/p>\n<ul class=\"list01\">\n<li>Trouble swallowing \u2013 due to stricture formation ieNarrowing of the esophagus at the site where it joins the stomach<\/li>\n<li>Reflux \u2013 due to loss of the anti-reflux mechanism of the esophagus and stomach<\/li>\n<li>Pneumonia \u2013 due to aspirations of the food particles<\/li>\n<\/ul>\n<p>Some complications may require additional treatment and \/ or surgery \u2013 endoscopic dilation for the narrowing at the junction or revision of the anastomosis if the endoscopic dilation does not work.<\/p>\n<p>Initial recovery from gastric pull-up lasts approximately one month, including a hospital stay of 10 to 12 days. The child\u2019s condition in the following weeks and months and the feeding jejunostomy tube is removed after one month or later if he undergoes dilation . Depending on the child\u2019s progress, he may require occasional follow-up visits in coming years.<\/p>\n\n","protected":false},"excerpt":{"rendered":"<p>One year old female baby presented as a case of pure esophageal atresia and had underwent feeding gastrostomy and cervical esophagostomy in the neonatal period. The baby was admitted for definitive repair. <\/p>\n","protected":false},"author":1,"featured_media":212,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[91],"tags":[89,90,88],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.10 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Gastric Pull Up Surgery In Children<\/title>\n<meta name=\"description\" content=\"One year old female baby presented as a case of pure esophageal atresia and had underwent feeding gastrostomy and cervical esophagostomy in the neonatal period. 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