title: [Surgical reconstruction of long esophageal stenoses in children].
abstract: Four cases related with the long stenosis of lower part of esophagus are referred to in children. These were stenoses of fibromuscular type, due to achalasia and resulting from etching with sulphuric acid as well as from tumor. The extramucous myotomy, esophagotomy and colonic replacement of long esophageal stenosis were elected. The condition is repairable by esophagomyotomy or esophagotomy when the function of stenotic portion of esophagus is preserved. To prevent postoperative complications such as fistula, diverticulum, gastroesophageal reflux and restenosis, the covering of incision with a patch from gastric fundus is recommended with subsequent fundoplication. Anatomical and functional lesion of esophageal wall in the presence of long stenosis requires its esophagoplasty as well as replacement with the intestinal interposition.
authors: Oddĕlení dĕtské chirurgie FN KUNZ katedry pediatrie, porodonictví a gynekologie.
authors: H
authors: H
authors: Stefan
authors: P
authors: P
authors: Kuliacek
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004940:Esophageal Stenosis / Q000209:etiology / Q000601:surgery*; D004947:Esophagus / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008722:Methods
vernacular_title: Chirurgická rekonstrukce dlouhého zúzení jícnu u dĕtí.