title: Gastric tube esophagoplasty for pediatric esophageal replacement.
abstract: BACKGROUND
  Esophageal replacement in children is indicated in cases of esophageal atresia with or without fistula, in case of long gap esophageal atresia or failed primary repair. Intractable post corrosive esophageal stricture is considered also a major indication for replacement.
  
  
  METHODS
  This is a cohort retrospective study of esophageal replacement cases by gastric tube carried out at the pediatric surgery department at Cairo University between 2011 and 2015. We reported 50 patients (30 boys and 20 girls); the ages ranged from 7months to 9years. Esophageal atresia cases were 27 while caustic esophageal stricture cases were 23. Isoperistaltic gastric tube technique was done in 45 patients while antiperistaltic (reversed) gastric tube technique was done in 5 cases. Retrosternal route was chosen in 38 patients while transhiatal route was chosen in 12 patients.
  
  
  RESULTS
  Leakage and stricture were the most common complications. We had 5 cases of mortality, which were caused mainly by chest related complications. We had excellent to good results during long term follow up in terms of weight gain, swallowing pattern, quality of life, and overall satisfaction CONCLUSION: Gastric tube is a satisfactory surgical method for esophageal replacement in children.
  
  
  METHODS
  III.
authors.affiliation: Pediatric Surgery, Faculty of Medicine, Cairo University, Cairo, Egypt. Electronic address: mfiky@kasralainy.edu.eg.
authors.forename: Mahmoud M A
authors.initials: MM
authors.lastname: Elfiky
authors.affiliation: Pediatric Surgery, Faculty of Medicine, Cairo University, Cairo, Egypt.
authors.forename: Gamal
authors.initials: G
authors.lastname: El Tagy
authors.affiliation: Pediatric Surgery, Faculty of Medicine, Cairo University, Cairo, Egypt.
authors.forename: Wissam
authors.initials: W
authors.lastname: Mohamed
authors.affiliation: Pediatric Surgery, Faculty of Medicine, Cairo University, Cairo, Egypt.
authors.forename: Osama
authors.initials: O
authors.lastname: Abdel Azim
authors.affiliation: Pediatric Surgery, Faculty of Medicine, Cairo University, Cairo, Egypt.
authors.forename: Mohamed A
authors.initials: MA
authors.lastname: Elfiky
mesh_terms: D002648:Child; D002675:Child, Preschool; D004933:Esophageal Atresia / Q000601:surgery*; D004940:Esophageal Stenosis / Q000601:surgery*; D004944:Esophagoplasty / Q000295:instrumentation / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: Caustic esophageal stricture; Esophageal atresia; Esophageal replacement; Esophagoplasty; Gastric tube; Leakage