Don't mind the gap: Esophageal replacement strategies and future perspectives for long-gap esophageal atresia

G. Gallo

doi:10.33540/1672

Don't mind the gap: Esophageal replacement strategies and future perspectives for long-gap esophageal atresia

G. Gallo

Research output: Thesis › Doctoral thesis 2 (Research NOT UU / Graduation UU)

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Abstract

This thesis aims to describe the surgical treatment and the long-term sequelae of patients with long-gap esophageal atresia (LGEA) in the Netherlands. Until recently, surgical correction for LGEA in the Netherlands was performed with a Gastric Pull-Up (GPU) or a Jejunal Interposition(JI). However, there is still no consensus regarding the optimal surgical approach for LGEA.
More recently, a thoracoscopic external traction technique (TTT) followed by esophago- esophagostomy has been developed to bridge the long-gap. TTT might form a promising esophagus-preserving strategy for LGEA patients but limited data have been published. We introduce the first results our pilot study over feasibility, safety and efficiency of TTT.

Original language	English
Awarding Institution	University Medical Center (UMC) Utrecht
Supervisors/Advisors	Lindeboom, MYA, Primary supervisor Hulscher, J.B.F., Supervisor, External person Tytgat, SHAJ, Co-supervisor Zwaveling, S, Co-supervisor
Award date	26 Jan 2023
Publisher	Utrecht University
DOIs	https://doi.org/10.33540/1672
Publication status	Published - 26 Jan 2023
Externally published	Yes

Keywords

esophageal atresia
long-gap esophageal atresia
esophageal replacement
gastric pull up
jejunal interposition
quality of life

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10.33540/1672

dont mind the gap-gallo - 63c288a7d2b21Final published version, 5.88 MB

https://dspace.library.uu.nl/handle/1874/425372

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title = "Don't mind the gap: Esophageal replacement strategies and future perspectives for long-gap esophageal atresia",

abstract = "This thesis aims to describe the surgical treatment and the long-term sequelae of patients with long-gap esophageal atresia (LGEA) in the Netherlands. Until recently, surgical correction for LGEA in the Netherlands was performed with a Gastric Pull-Up (GPU) or a Jejunal Interposition(JI). However, there is still no consensus regarding the optimal surgical approach for LGEA.More recently, a thoracoscopic external traction technique (TTT) followed by esophago- esophagostomy has been developed to bridge the long-gap. TTT might form a promising esophagus-preserving strategy for LGEA patients but limited data have been published. We introduce the first results our pilot study over feasibility, safety and efficiency of TTT.",

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doi = "10.33540/1672",

language = "English",

publisher = "Utrecht University",

type = "Doctoral thesis 2 (Research NOT UU / Graduation UU)",

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AU - Gallo, G.

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N2 - This thesis aims to describe the surgical treatment and the long-term sequelae of patients with long-gap esophageal atresia (LGEA) in the Netherlands. Until recently, surgical correction for LGEA in the Netherlands was performed with a Gastric Pull-Up (GPU) or a Jejunal Interposition(JI). However, there is still no consensus regarding the optimal surgical approach for LGEA.More recently, a thoracoscopic external traction technique (TTT) followed by esophago- esophagostomy has been developed to bridge the long-gap. TTT might form a promising esophagus-preserving strategy for LGEA patients but limited data have been published. We introduce the first results our pilot study over feasibility, safety and efficiency of TTT.

AB - This thesis aims to describe the surgical treatment and the long-term sequelae of patients with long-gap esophageal atresia (LGEA) in the Netherlands. Until recently, surgical correction for LGEA in the Netherlands was performed with a Gastric Pull-Up (GPU) or a Jejunal Interposition(JI). However, there is still no consensus regarding the optimal surgical approach for LGEA.More recently, a thoracoscopic external traction technique (TTT) followed by esophago- esophagostomy has been developed to bridge the long-gap. TTT might form a promising esophagus-preserving strategy for LGEA patients but limited data have been published. We introduce the first results our pilot study over feasibility, safety and efficiency of TTT.

KW - esophageal atresia

KW - long-gap esophageal atresia

KW - esophageal replacement

KW - gastric pull up

KW - jejunal interposition

KW - quality of life

U2 - 10.33540/1672

DO - 10.33540/1672

M3 - Doctoral thesis 2 (Research NOT UU / Graduation UU)

PB - Utrecht University

ER -

Don't mind the gap: Esophageal replacement strategies and future perspectives for long-gap esophageal atresia

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Keywords

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