IPEG

IPEG 2020 TOP ABSTRACT: Laparoscopic Treatment of Esophageal Obstruction Caused by Embryonic Remmants

September 16, 2020
Presenter: Carlos García-Hernández, MD
carloscirped@hotmail.com
Carlos García Hernández|carloscirped

LAPAROSCOPIC TREATMENT OF ESOPHAGEAL OBSTRUCTION CAUSED BY EMBRYONIC REMMANTS
Carlos García-Hernández, MD; Lourdes Carvajal Figueroa, MD; Cristian Archibaldo Garcia, MD; Sergio Landa Juarez, MD; Hospital Infantil Privado

Introduction: Cartilaginous embryonic remnants of the esophagus are a rare disease. Misdiagnosis and inappropriate treatment could cause serious complications. Reports of treatment using minimal invasion are scarce. Our objective is to report our experience in the laparoscopic treatment of esophageal stenosis secondary to tracheobronchial cartilaginous remains.

Material and methods: Retrospective study which included patients with an obstruction of the lower third of the esophagus secondary to cartilaginous embryonic remains. All were operated by laparoscopic approach assisted by endoscopy.

Results: 4 patients were treated, age range from 18 to 30 months. Surgical time varied from 2.8 to 3.1 hours. No complications. The histopathological report was an intramural cartilaginous ring. 1 patient presented anastomosis leak 5 days after surgery and required esophageal dilation at 3 months. Normal oral feeding.

Conclusion: Resection of the affected segment is the treatment of choice in these patients, which can be done safely by laparoscopy.

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