Gastric dissociation for the treatment of congenital microgastria with paraesophageal hiatal hernia

Shaun Kunisaki, Allie Dakhoub, Marcus D. Jarboe, James D. Geiger

Research output: Contribution to journalArticle

Abstract

Microgastria is a rare but well-described congenital anomaly of the alimentary tract that presents in the neonatal period with vomiting, aspiration, and failure to thrive. Based on a relatively small number of case reports, gastric augmentation with a double-barrel loop of jejunum, known as a Hunt-Lawrence pouch, has been advocated as the reconstructive procedure of choice in affected children who fail nonoperative management. In this report, we present a novel method of foregut reconstruction in an infant with congenital microgastria and a paraesophageal hiatal hernia. In this procedure, the stomach was transected 1 cm below the gastroesophageal junction with construction of a straight Roux-en-Y jejunal anastomosis to the gastric fundic cuff. A feeding gastrostomy tube was placed into the distal remnant stomach for enteral access. The patient did well and eventually transitioned to full oral feeds by 3 years of age.

Original languageEnglish (US)
JournalJournal of pediatric surgery
Volume46
Issue number6
DOIs
Publication statusPublished - Jun 1 2011
Externally publishedYes

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Keywords

  • Gastric dissociation
  • Hunt-Lawrence pouch
  • Microgastria
  • Paraesophageal hernia

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery

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