Total Esophageal Gastric Dissociation for the Failed Antireflux Procedure in a Child with Microgastria

Author:

Hattori Kengo12,Bvulani Bruce12,Numanoglu Alp12,Cox Sharon12,Millar Alastair12

Affiliation:

1. Department of Paediatric Surgery, Red Cross War Memorial Children's Hospital, Cape Town, South Africa

2. Department of Paediatric Surgery, University of Cape Town, Cape Town, Western Cape, South Africa

Abstract

Microgastria is a very rare anomaly characterized by a very small tubular stomach that presents with severe gastroesophageal reflux disease due to the small reservoir capacity of the stomach. We present a patient with microgastria-related reflux and a failed fundoplication who was treated with total esophageal gastric dissociation (TEGD) resulting in an excellent outcome. In our experience with this good long-term result, we would suggest that TEGD be added to the armamentarium of procedures that can be used in the treatment of microgastria.

Publisher

Georg Thieme Verlag KG

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