Laparoscopic gastric transposition with cervical esophagogastric anastomosis for long gap pure esophageal atresia.

The management of long-gap pure esophageal atresia remains controversial. Treatment options include primary repair with or without circular myotomoies of the upper pouch, proximal and distal pouch dilation/stretching, colon/small intestinal replacement, and gastric transposition/pull-up. Of these options, only the gastric transposition can be performed in a completely laparoscopic approach. In this paper, we report a case of complete laparoscopic gastric transposition with cervical esophagogastric anastomosis in an infant with long-gap pure esophageal atresia.