Cervical esophagogastric anastomosis using a retrosternal gastric conduit in an adult patient with congenital type A long-gap esophageal atresia after 18 years of gastrostomy: a case report
Masahiro Kohmoto, Takeshi Yamashita, Satoru Goto, Akira Saito, Kentaro Motegi, Tomotake Ariyoshi, Sei Adachi, Noriyoshi Nakayama, Koji Otsuka, Yu Watarai, Masahiko Murakami, Takeshi Aoki · 2026
Read Cervical esophagogastric anastomosis using a retrosternal gastric conduit in an adult patient with congenital type A long-gap esophageal atresia after 18 years of gastrostomy: a case report by Masahiro Kohmoto, Takeshi Yamashita, Satoru Goto, Akira Saito, Kentaro Motegi, Tomotake Ariyoshi, Sei Adachi, Noriyoshi Nakayama, Koji Otsuka, Yu Watarai, Masahiko Murakami, Takeshi Aoki (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13536803.txt.
Description
Masahiro Kohmoto and colleagues shared a rare adult rebuild of the gullet after 18 years of tube feeding. Published in 2026, the case covers an 18-year-old woman born with a long-gap gullet blockage, fed by a stomach tube since birth. At two she had a neck opening made after repeated aspiration. Scans ruled out a windpipe-gullet link first.
Surgeons joined a stomach tube to the neck gullet behind the breastbone, since scarring blocked the usual rear path. A join leak and a collapsed lung eased with watchful care, and voice-nerve weakness came without food going down the wrong way. She began eating by mouth on day 12, left the ward on day 21, and gained 3 kilos by three months and 10 kilos by ten months. The authors present the behind-breastbone path as workable when the rear path is blocked, while noting one case cannot settle long-term results.
Catalog record
| CREATOR | Masahiro Kohmoto, Takeshi Yamashita, Satoru Goto, Akira Saito, Kentaro Motegi, Tomotake Ariyoshi, Sei Adachi, Noriyoshi Nakayama, Koji Otsuka, Yu Watarai, Masahiko Murakami, Takeshi Aoki |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 21 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |