title: Surgical treatment of esophagogastric dysfunction forty years after reverse gastric tube esophagoplasty for congenital esophageal anomaly.
abstract: BACKGROUND
  In 1968, Burrington first described use of the reverse gastric tube esophagoplasty for esophageal replacement in children with esophageal atresia or acquired stenosis. There are few documented cases of long-term follow-up of these patients.
  
  
  METHODS
  We describe a 41-year-old female who presented with progressive dysphagia 40 years after reverse gastric tube for a congenital esophageal stenosis as an infant. Repeated endoscopic dilations were unsuccessful in relieving her symptoms, and she subsequently underwent a modified Ivor-Lewis esophagogastrectomy with resection of the reverse gastric tube and reconstruction using her remaining gastric remnant.
  
  
  CONCLUSIONS
  This report describes what we believe to be the longest recorded follow-up after reverse gastric tube esophagoplasty and highlights the potential for long-term complications after surgery for congenital anomalies.
authors.affiliation: Division of Surgical Oncology, Department of Surgery, University of North Carolina School of Medicine at Chapel Hill, Chapel Hill, NC 27599-7050, USA. jashburn@unch.unc.edu
authors.forename: Jean H
authors.initials: JH
authors.lastname: Ashburn
authors.forename: Michael O
authors.initials: MO
authors.lastname: Meyers
authors.forename: J Duncan
authors.initials: JD
authors.lastname: Phillips
mesh_terms: D000328:Adult; D004933:Esophageal Atresia / Q000601:surgery*; D004935:Esophageal Diseases / Q000601:surgery*; D004940:Esophageal Stenosis / Q000151:congenital / Q000601:surgery; D004944:Esophagoplasty / Q000379:methods*; D004947:Esophagus / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy / Q000379:methods; D006801:Humans; D008137:Longitudinal Studies / Q000706:statistics & numerical data; D019651:Plastic Surgery Procedures / Q000379:methods; D013270:Stomach / Q000601:surgery; D013997:Time Factors; D016896:Treatment Outcome