Gastric Transposition after Duodenoduodenostomy in Infants with Combined Esophageal and Duodenal Atresia—Report of Three Cases

Esophageal atresia (EA) is a congenital malformation that occurs in 1 in 3000 live births. It is commonly present together with other anomalies, the majority involving the VACTERL association (vertebral anomalies, anal atresia, cardiovascular anomalies, tracheoesophageal fistula, renal anomalies, limb defects), while duodenal atresia (DA) is also present in 3 to 6% of EA patients.1–3 A minority of the EA patients, usually without a tracheoesophageal fistula (TEF), need esophageal substitution because of long-gap EA with no possibility of a primary esophagoesophagostomy or following complications with the primary repair. In some cases, the esophageal replacement should be performed in patients who have participated in duodenoduodenostomy in the neonatal period. After colonic interposition and reverse gastric tube esophagoplasty, gastric transposition (GT) is the procedure of choice for esophageal replacement at present in most institutes. Here, we report three cases of successful GT after duodenoduodenostomy.