Laparoscopic Gastric Pull-Up for Esophageal Replacement in Children: A Minimally Invasive Approach

Esophageal atresia occurs in1,3 in 2500–3500 live births, and caustic ingestion has an incidence of 15.8 in 100,000 persons. In both diseases, esophageal preservation is the recommended treatment; however, it is not always feasible in the setting of long-gap atresia, severe caustic injury, or stricture. When esophageal replacement is indicated, the stomach, jejunum, and colon are all possible candidates for a conduit. The gastric pull-up procedure has the benefit of being performed with relative ease and reproducibility. Here, we review our technique of laparoscopic gastric pull-up for esophageal replacement in children.