Gastric transposition for oesophageal replacement in childhood

Two infants who presented with long-gap oesophageal atresia and tracheo-oesophageal fistula were initially treated in King Khalid University Hospital by division of the fistula, gastrostomy and cervical oesophagostomy. A year later the whole stomach was used to replace the oesophagus. One patient had herniation of the small bowel into the chest months after surgery, through the old oesophageal hiatus. This required surgical intervention. Both patients showed a normal growth and developmental pattern over the 2 years following surgery. Gastro-oesophageal reflux has not been a problem in either patient