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patients with long gap esophageal atresia (preoperative)

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First one with correct answer with justification win.

 

[size=20px]A newborn infant presents with pure esophageal atresia. A gastrostomy is performed and a contrast study reveals a five vertebral body distance between the proximal and distal esophageal pouches.

 

Which of the following approaches will result in the shortest time to definitive anastomosis for patients with long gap esophageal atresia?

 

A delayed primary repair

 

B the application of traction sutures (Foker technique)

 

C gastric pull up

 

D colon interposition

 

E serial extrathoracic proximal esophageal advancement (Kimura technique)[/size]

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