The effect of traction on esophageal structure in children with long-gap esophageal atresia

Khalid M. Khan, Arash A. Sabati, Tara Kendall, John E. Foker

Research output: Contribution to journalArticlepeer-review

23 Scopus citations

Abstract

We examined the esophageal structure in children who underwent traction to achieve primary repair of long-gap esophageal atresia. High-resolution ultrasound was used to compare thickness of the proximal and distal esophagus in children who had traction to achieve primary repair (n=15) to cases of esophageal atresia with shorter gaps that did not require traction (n=8). The muscularis propria of the upper esophagus was thicker in the traction compared to the non-traction group, though not statistically significant (respectively, 0.79 (0.18) mm vs. 0.71 (0.16) mm; p=0.29), measurements were similar for the lower esophagus (respectively, 0.79 (0.21) mm vs. 0.75 (0.13) mm; p=0.64). Combined mucosa and submucosa was very similar in both groups for the upper (respectively, 1.03 (0.15) mm vs. 1.04 (0.16) mm; p=0.95) and lower esophagus (respectively, 1.09 (0.23) mm vs. 1.01 (0.13) mm; p=0.37). The thickness of individual mural layers is maintained after increasing esophageal length with traction.

Original languageEnglish (US)
Pages (from-to)1917-1921
Number of pages5
JournalDigestive Diseases and Sciences
Volume51
Issue number11
DOIs
StatePublished - Nov 2006

Keywords

  • Esophageal traction
  • Esophageal wall thickness
  • High-resolution endoscopic ultrasound
  • Long-gap esophageal atresia

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