Case report reveals anaesthetic challenges during gastric pull-up in infants with long-gap oesophageal atresia, suggesting careful management is required.
A unique subset of infants diagnosed with oesophageal atresia (EA) with tracheooesophageal fistula (TEF) are those born with pure long-gap oesophageal atresia (LGEA), constituting around 10 % of oesophageal atresia. Several procedures have been developed for oesophageal reconstruction and gastric pull-up has demonstrated promising outcomes. Anaesthetic management for the gastric pull-up surgery is challenging with a high risk of respiratory distress and a high incidence of perioperative tachyarrhythmias. Case of infant diagnosed with LGEA, marked by a significant proximal-distal oesophageal discrepancy, initially underwent cervical oesophagostomy and feeding gastrostomy in the neonatal period is presented. Anaesthetic challenges were faced both intraoperatively and postoperatively.
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Richhariya et al. (2025) studied this question.
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