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Annals of Pediatric Surgery

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A valid treatment option for isolated congenital microgastria

M Zamakhshary, O Oda, A Alrabeeah, SA Jadaan, M Al-Namshan, S Crankson, M Hasosah, O Aljohani, A Abdulwahab

Abstract


Congenital microgastria (CM) is an extremely rare anomaly of the caudal part of the foregut. Treatment of CM has not yet been standardized. We present the case of a 34-monthold girl with an isolated CM complicated by nasogastric tube-related gastric perforation. During the definitive reconstructive surgery, a scarred structure (1.5 1.5 cm) was found to follow a dilated esophagus. The scarred microstomach was resected, and a Roux-en-Y esophagojejunostomy was performed. The patient has been followed for 6 months. She tolerates a regular oral diet and has reached acceptable growth parameters. We describe the first case of CM to be treated with resection of the microstomach and with a Roux-en-Y esophagojejunostomy.

Keywords: congenital microgastria, gastrectomy, Roux-en-Y esophagojejunostomy




http://dx.doi.org/10.1097/01.XPS.0000399159.05940.0f
AJOL African Journals Online