What does this research mean for the field?

Thoracoscopic serial internal traction of the distal esophagus combined with extra-thoracic elongation of the proximal pouch can enable successful esophageal anastomosis in patients with complicated type A esophageal atresia following a previous esophagostomy. Novelty: ClaimNovelty.METHODOLOGICAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To report a staged surgical approach combining thoracoscopic internal traction and extra-thoracic pouch elongation for repairing complicated long-gap esophageal atresia following a failed initial repair.

September 6, 2026Journal of Pediatric Surgery Case ReportsOpen Access

A modified surgical strategy for complicated long-gap esophageal atresia: A case report

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Authors

SEShukurali Eshkabilov MAMurat Abduazizov AYAbbos Yoqubov

Discussion

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Overview

Case report demonstrates successful delayed esophageal anastomosis in an infant with complicated long-gap esophageal atresia, indicating serial traction and elongation can restore native anatomy.

Key Points

To report a staged surgical approach combining thoracoscopic internal traction and extra-thoracic pouch elongation for repairing complicated long-gap esophageal atresia following a failed initial repair.
Evaluated an 11-month-old female infant (N=1) with type A long-gap esophageal atresia who developed traction suture pull-through and required a cervical esophagostomy.
Utilized 3D CT reconstruction with intravenous and gastrostomy-administered enteral contrast to assess distal pouch anatomy and mediastinal relationships.
Performed three staged thoracoscopic distal-segment traction procedures at 1.5- to 3-month intervals, combined with extra-thoracic Kimura elongation of the proximal segment during the first two stages.
Achieved a tension-free primary esophageal anastomosis via right thoracotomy at 2.2 years of age.
Treated an anastomotic stricture successfully with four balloon dilatations, enabling discontinuation of gastrostomy feedings at 2.5 years.
Maintained full oral intake without dysphagia through the final follow-up at 4.5 years of age.

Cite This Study

Eshkabilov et al. (2026) studied this question.

synapsesocial.com/papers/6a9d1df228139818eab20aa3 https://doi.org/10.1016/j.epsc.2026.103330

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September 6, 2026Journal of Pediatric Surgery Case ReportsOpen Access

A modified surgical strategy for complicated long-gap esophageal atresia: A case report

View Full Paper

Ask AI

Bookmark

Authors

SEShukurali Eshkabilov MAMurat Abduazizov AYAbbos Yoqubov

Discussion

Member takes

Overview

Case report demonstrates successful delayed esophageal anastomosis in an infant with complicated long-gap esophageal atresia, indicating serial traction and elongation can restore native anatomy.

Key Points

To report a staged surgical approach combining thoracoscopic internal traction and extra-thoracic pouch elongation for repairing complicated long-gap esophageal atresia following a failed initial repair.
Evaluated an 11-month-old female infant (N=1) with type A long-gap esophageal atresia who developed traction suture pull-through and required a cervical esophagostomy.
Utilized 3D CT reconstruction with intravenous and gastrostomy-administered enteral contrast to assess distal pouch anatomy and mediastinal relationships.
Performed three staged thoracoscopic distal-segment traction procedures at 1.5- to 3-month intervals, combined with extra-thoracic Kimura elongation of the proximal segment during the first two stages.
Achieved a tension-free primary esophageal anastomosis via right thoracotomy at 2.2 years of age.
Treated an anastomotic stricture successfully with four balloon dilatations, enabling discontinuation of gastrostomy feedings at 2.5 years.
Maintained full oral intake without dysphagia through the final follow-up at 4.5 years of age.

Cite This Study

Eshkabilov et al. (2026) studied this question.

synapsesocial.com/papers/6a9d1df228139818eab20aa3 https://doi.org/10.1016/j.epsc.2026.103330

View Full Paper

Ask AI

Bookmark