Coletta, R 
ORCID: https://orcid.org/0000-0003-3878-1415, Mussi, E, Bianchi, A and Morabito, A
2021,
'Modified Oesophago-Gastric Dissociation (M-OGD) — a technical modification'
, Updates in Surgery, 73 (2)
, pp. 775-778.
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Abstract
Adhesions and fibrosis following failed primary surgery for severe gastro-oesophageal reflux (GOR) in neurologically impaired children (NI) can render mobilization of the lower oesophagus and oesophago-jejunal anastomosis a technically demanding exercise both at open surgery and laparoscopy. This paper presents the Modified Oesophago-Gastric Dissociation (M-OGD) as a less complex technical modification of the original Total Oesophago-Gastric Dissociation (TOGD). The stomach is detached from the oesophago-gastric junction with an articulated 5-mm stapler, leaving a 5-mm strip of stomach attached to the oesophagus. An end-to-side isoperistaltic oesophago-jejunostomy is created between the gastric stump and the isoperistaltic jejunal Roux loop. A jejuno-jejunal anastomosis restores bowel continuity. Between May 2018 and February 2020, M-OGD was performed on 3 NI patients with a weight of 9–27.3 kg (median = 14 kg). Median age at surgery was 60 months (18–180), median surgical time 170 min (146–280), median re-feeding time was 3 days (2–5), and median length of stay was 20 days (11–25). All patients healed primarily and after a median follow-up of 3 months, there were no problems related to the oesophago-jejunal anastomosis. M-OGD reduces the difficulties of redo oesophageal surgery following failed anti-reflux procedures, with a safer oesophago-jejunal anastomosis and a good long-term outcome.
| Item Type: | Article |
|---|---|
| Schools: | Schools > School of Environment and Life Sciences |
| Journal or Publication Title: | Updates in Surgery |
| Publisher: | Springer |
| ISSN: | 2038-131X |
| Related URLs: | |
| Depositing User: | USIR Admin |
| Date Deposited: | 07 Jan 2021 10:07 |
| Last Modified: | 16 Feb 2022 06:28 |
| URI: | https://usir.salford.ac.uk/id/eprint/59279 |
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