J.Jpn. Surg. Soc.. 80(12): 1349-1351, 1979

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Report on the annual meeting

ELONGATION OF ESOPHAGUS FOR THE TREATMENT OF ESOPHAGEAL ATRESIA: REHBEIN'S PROCEDURE AND LIVADITIS'PROCEDURE

It is well known that "one's own esophagus is the best esophagus" and therefore, for the treatment of esophageal atresia with long gap, method of end-to-end anastomosis following enough elongation of the upper pouch is better than esophageal replacement using gastric tube or intestines.
Case 1. 2205 g of boy with Gross B type esophageal atresia. Because of extensive length of the gap, about 7 vertebrae, elongation of the upper pouch by means of Howard's procedure was performed, then Rehbein's procedure was followed which showed good results and end-to-end anastomosis was completed at the age of one year and 11 months. He is now 7 years and doing very well without any evidence of esophageal stenosis nor gastroesophageal reflux.
Case 2. 2200 g of girl with Gross A type esophageal atresia. The length of the gap between both ends of esophagus was 4.5 vertebrae and at the age of 11 months end-to-end anastomosis was performed by means of circular myotomy as described by Livaditis. She is now 3 years of age and free of stenosis or gastroesophageal reflux.

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