Download PDF
European J Pediatr Surg Rep. 2016; 04(01): 006-009
DOI: 10.1055/s-0035-1571176
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Total Esophageal Gastric Dissociation for the Failed Antireflux Procedure in a Child with Microgastria

Kengo Hattori
1   Department of Paediatric Surgery, Red Cross War Memorial Children's Hospital, Cape Town, South Africa
2   Department of Paediatric Surgery, University of Cape Town, Cape Town, Western Cape, South Africa
,
Bruce Bvulani
1   Department of Paediatric Surgery, Red Cross War Memorial Children's Hospital, Cape Town, South Africa
2   Department of Paediatric Surgery, University of Cape Town, Cape Town, Western Cape, South Africa
,
Alp Numanoglu
1   Department of Paediatric Surgery, Red Cross War Memorial Children's Hospital, Cape Town, South Africa
2   Department of Paediatric Surgery, University of Cape Town, Cape Town, Western Cape, South Africa
,
Sharon Gail Cox
1   Department of Paediatric Surgery, Red Cross War Memorial Children's Hospital, Cape Town, South Africa
2   Department of Paediatric Surgery, University of Cape Town, Cape Town, Western Cape, South Africa
,
Alastair J. W. Millar
1   Department of Paediatric Surgery, Red Cross War Memorial Children's Hospital, Cape Town, South Africa
2   Department of Paediatric Surgery, University of Cape Town, Cape Town, Western Cape, South Africa
› Author Affiliations
Further Information

Publication History

31 July 2015

01 December 2015

Publication Date:
22 January 2016 (online)

   Permissions and Reprints

Abstract

Microgastria is a very rare anomaly characterized by a very small tubular stomach that presents with severe gastroesophageal reflux disease due to the small reservoir capacity of the stomach. We present a patient with microgastria-related reflux and a failed fundoplication who was treated with total esophageal gastric dissociation (TEGD) resulting in an excellent outcome. In our experience with this good long-term result, we would suggest that TEGD be added to the armamentarium of procedures that can be used in the treatment of microgastria.

Keywords

microgastria - gastroesophageal reflux - total esophageal gastric dissociation - failed fundoplication
 

  • References

  • 1 Ramos CT, Moss RL, Musemeche CA. Microgastria as an isolated anomaly. J Pediatr Surg 1996; 31 (10) 1445-1447
    CrossrefPubMedGoogle Scholar
  • 2 Kunisaki SM, Dakhoub A, Jarboe MD, Geiger JD. Gastric dissociation for the treatment of congenital microgastria with paraesophageal hiatal hernia. J Pediatr Surg 2011; 46 (6) e1-e4
    PubMedGoogle Scholar
  • 3 Dicken BJ, Novotny NM, Breckler FD, Yim JP, Rescorla FJ. Use of the Hunt-Lawrence pouch in congenital microgastria—a report of 2 cases. J Pediatr Surg 2010; 45 (11) 2238-2240
    CrossrefPubMedGoogle Scholar
  • 4 Bianchi A. Total esophagogastric dissociation: an alternative approach. J Pediatr Surg 1997; 32 (9) 1291-1294
    CrossrefPubMedGoogle Scholar
  • 5 Boix-Ochoa J. The physiologic approach to the management of gastric esophageal reflux. J Pediatr Surg 1986; 21 (12) 1032-1039
    CrossrefPubMedGoogle Scholar
  • 6 Menon P, Rao KL, Cutinha HP, Thapa BR, Nagi B. Gastric augmentation in isolated congenital microgastria. J Pediatr Surg 2003; 38 (10) E4-E6
    PubMedGoogle Scholar
  • 7 Velasco AL, Holcomb III GW, Templeton Jr JM, Ziegler MM. Management of congenital microgastria. J Pediatr Surg 1990; 25 (2) 192-197
    CrossrefPubMedGoogle Scholar
  • 8 Laurie DE, Wakeling EL. Congenital microgastria in association with Pierre-Robin sequence. Clin Dysmorphol 2008; 17 (2) 143-144
    CrossrefPubMedGoogle Scholar
  • 9 Stewart C, Stewart M, Stewart F. Microgastria-limb reduction anomaly with total amelia. Clin Dysmorphol 2002; 11 (3) 187-190
    CrossrefPubMedGoogle Scholar
  • 10 Jones VS, Cohen RC. An eighteen year follow-up after surgery for congenital microgastria—case report and review of literature. J Pediatr Surg 2007; 42 (11) 1957-1960
    CrossrefPubMedGoogle Scholar
  • 11 Neifeld JP, Berman WF, Lawrence Jr W, Kodroff MB, Salzberg AM. Management of congenital microgastria with a jejunal reservoir pouch. J Pediatr Surg 1980; 15 (6) 882-885
    CrossrefPubMedGoogle Scholar
  • 12 Islam S, Teitelbaum DH, Buntain WL, Hirschl RB. Esophagogastric separation for failed fundoplication in neurologically impaired children. J Pediatr Surg 2004; 39 (3) 287-291 , discussion 287–291
    CrossrefPubMedGoogle Scholar
  • 13 Molinaro F, Bindi E, Cerchia E, Angotti R, Mariscoli F, Messina M. Esophagogastric dissociation reduces the re-operation rate for persistent gastroesophageal reflux in severely neurologically impaired children. Pediatr Surg Int 2014; 30 (10) 997-1001
    CrossrefPubMedGoogle Scholar
  • 14 Morabito A, Lall A, Lo Piccolo R , et al. Total esophagogastric dissociation: 10 years' review. J Pediatr Surg 2006; 41 (5) 919-922
    CrossrefPubMedGoogle Scholar
  • 15 Lall A, Morabito A, Bianchi A. “Total Gastric Dissociation (TGD)” in difficult clinical situations. Eur J Pediatr Surg 2006; 16 (6) 396-398
    Article in Thieme ConnectPubMedGoogle Scholar
  • 16 Gatti C, di Abriola GF, Villa M , et al. Esophagogastric dissociation versus fundoplication: which is best for severely neurologically impaired children?. J Pediatr Surg 2001; 36 (5) 677-680
    CrossrefPubMedGoogle Scholar
  • 17 Buratti S, Kamenwa R, Dohil R, Collins D, Lavine JE. Esophagogastric disconnection following failed fundoplication for the treatment of gastroesophageal reflux disease (GERD) in children with severe neurological impairment. Pediatr Surg Int 2004; 20 (10) 786-790
    CrossrefPubMedGoogle Scholar
  • 18 Gottrand M, Michaud L, Guimber D , et al. Barrett esophagus and esophagojejunal anastomotic stenosis as complications of esophagogastric disconnection in children with esophageal atresia. J Pediatr Gastroenterol Nutr 2013; 57 (1) 93-95
    CrossrefPubMedGoogle Scholar