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European J Pediatr Surg Rep. 2016; 04(01): 006-009
DOI: 10.1055/s-0035-1571176
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Total Esophageal Gastric Dissociation for the Failed Antireflux Procedure in a Child with Microgastria

Kengo Hattori
1   Department of Paediatric Surgery, Red Cross War Memorial Children's Hospital, Cape Town, South Africa
2   Department of Paediatric Surgery, University of Cape Town, Cape Town, Western Cape, South Africa
,
Bruce Bvulani
1   Department of Paediatric Surgery, Red Cross War Memorial Children's Hospital, Cape Town, South Africa
2   Department of Paediatric Surgery, University of Cape Town, Cape Town, Western Cape, South Africa
,
Alp Numanoglu
1   Department of Paediatric Surgery, Red Cross War Memorial Children's Hospital, Cape Town, South Africa
2   Department of Paediatric Surgery, University of Cape Town, Cape Town, Western Cape, South Africa
,
Sharon Gail Cox
1   Department of Paediatric Surgery, Red Cross War Memorial Children's Hospital, Cape Town, South Africa
2   Department of Paediatric Surgery, University of Cape Town, Cape Town, Western Cape, South Africa
,
Alastair J. W. Millar
1   Department of Paediatric Surgery, Red Cross War Memorial Children's Hospital, Cape Town, South Africa
2   Department of Paediatric Surgery, University of Cape Town, Cape Town, Western Cape, South Africa
› Author Affiliations
Further Information

Publication History

31 July 2015

01 December 2015

Publication Date:
22 January 2016 (online)

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Abstract

Microgastria is a very rare anomaly characterized by a very small tubular stomach that presents with severe gastroesophageal reflux disease due to the small reservoir capacity of the stomach. We present a patient with microgastria-related reflux and a failed fundoplication who was treated with total esophageal gastric dissociation (TEGD) resulting in an excellent outcome. In our experience with this good long-term result, we would suggest that TEGD be added to the armamentarium of procedures that can be used in the treatment of microgastria.

Keywords

microgastria - gastroesophageal reflux - total esophageal gastric dissociation - failed fundoplication
 

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