Laparoscopic resection of esophageal stricture with transgastric stapled anastomosis in a child with AIDS.

Abstract

A tight stricture in the lower esophageal stricture in a child poses significant surgical challenges. We report the first case of a laparoscopically assisted resection of a distal esophageal stricture in a 2-year-old girl with clinical AIDS (CDC stage 3). The patient presented with dysphagia, vomiting, and progressive weight loss. A barium swallow confirmed a distal tight esophageal stricture in the lower esophagus. After the second dilatation attempt failed a gastrostomy was inserted and highly active antiretroviral therapy treatment commenced. Follow-up contrast studies showed a nearly complete obstruction of the distal esophagus. A laparoscopically assisted resection of the esophageal stricture with a primary stapled anastomosis was performed with good results. At follow-up 8 months postoperative the child was tolerating feeds well and thriving.

• Authors: Daniel Sidler, Gian M Salzmann, Jonathan T Juzi, Sam W Moore
• Journal: Journal of laparoendoscopic & advanced surgical techniques. Part A (J Laparoendosc Adv Surg Tech A) Vol. 16 Issue 3 Pg. 331-4 (Jun 2006) ISSN: 1092-6429 [Print] United States
• PMID: 16796454 (Publication Type: Case Reports, Journal Article)

Topics

• Acquired Immunodeficiency Syndrome (drug therapy)
• Anastomosis, Surgical
• Antiretroviral Therapy, Highly Active
• Esophageal Stenosis (surgery)
• Female
• Gastrostomy
• Humans
• Infant
• Laparoscopy (methods)
• Surgical Stapling