Titlebook: Esophageal Preservation and Replacement in Children; Ashwin Pimpalwar Book 2021 Springer Nature Switzerland AG 2021 Embryology of esophagu

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Intrathoracic Intracorporeal Thoracoscopic Elongation – Internal Tractionechnique comprises of thoracoscopically placing a traction suture between both pouches of esophagus that stretches the pouches leading to approximation of the ends and thus facilitates the esophageal anastomosis. It is possible to accomplish the procedure within a few days avoiding a gastrostomy in

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Extrathoracic Lengthening (Kimura Technique)ions include delayed primary repair after initial gastrostomy, gastric transposition, intestinal interpositions, traction procedures, myotomy, and gastric tube techniques. Treatment strategies often consist of variations and combinations of different approaches..Among the surgical strategies focusin

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Long Gap Esophageal Atresiaan be defined as any distance between the atretic ends of the esophagus that is too wide to allow for primary anastomosis. The goals of reconstruction are to safely establish a patent conduit between the ends of the esophagus and to ensure the greatest degree of long-term functionality, without a pr

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Caustic Esophageal Injuries, GER Strictures and Postoperative Stricturesion; congenital esophageal anomalies such as esophageal atresia with or without tracheoesophageal fistula; postsurgical strictures; severe gastroesophageal reflux disease (GERD); foreign body impaction; and esophageal cancer. The latter is rarely seen as an indication for esophageal replacement in c

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Routes for Oesophageal Replacementoice of the route depends upon the surgeon’s preference, availability of the route, primary disease process and the nature of the conduit. Several studies have been performed to establish the safest and the easiest route with minimum complications, but there is no ideal route and choice is individua

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Gastric Pull Up: Open Approachlable, a suitable substitute is needed to perform the function of the esophagus. All the substitutes available have their advantages and disadvantages. The best substitute would be the one which allows close to normal swallowing with minimum reflux and reduced number of complications like strictures

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Vascularized Jejunal Tubee definition was clearly determined as those types of atresia that had no air on plain abdominal X-rays, that is, type A and B..Jejunal interposition is ideally suited for esophageal replacement if (delayed) primary anastomosis or traction technique is not possible or has failed. Although the techni

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