Lateral esophagostomy: an alternative in the initial management of long gap esophageal atresia without fistula

J Pediatr Surg. 2000 Dec;35(12):1827-9. doi: 10.1053/jpsu.2000.19273.


The authors report an alternative method of cervical esophagostomy that was used in a child with type A esophageal atresia. This method involved performing a lateral esophagostomy in the proximal pouch, preserving its distal end, allowing the child to swallow normally, without choking, while stimulating the spontaneous growth of the proximal esophagus. As a result, the infant could be discharged home on G-tube feedings while waiting for spontaneous growth of the proximal pouch to occur. There were no episodes of aspiration during this period, and definitive reconstruction through end-to-end esophageal anastomosis was accomplished successfully at the age of 18 months. The authors consider that this alternative might increase the possibility of a definitive correction through delayed primary anastomosis of the infant's own esophagus in children with this type of malformation.

Publication types

  • Case Reports

MeSH terms

  • Anastomosis, Surgical
  • Catheterization
  • Enteral Nutrition
  • Esophageal Atresia / diagnostic imaging
  • Esophageal Atresia / surgery*
  • Esophagostomy / methods*
  • Female
  • Humans
  • Infant, Newborn
  • Radiography