Health Library

Gastric Pull-Up

What Conditions Require Gastric Pull-Up?

Gastric pull-up is a surgical procedure, mostly performed in infants and children following an esophagectomy (removal of part of the esophagus).

Your child may need gastric pull-up due to:

• Caustic ingestion: Accidental or intentional ingestion of a toxic or corrosive substance
• Congenital anomalies: Including esophageal atresia (EA) with or without tracheoesophageal fistula (TEF), where the esophagus is improperly formed at birth

How Does a Gastric Pull-Up Work?

The surgery involves lifting part of stomach to meet the remaining esophagus. This re-establishes full connection between throat and stomach.

This surgery may require abdominal, throat or chest incisions. Your doctor will explain the proposed course of action, chosen specifically for your child’s condition.

Preparing for Surgery

Your surgeon and nurses will provide pre-surgery instructions to prepare you for your child’s operation.

Specific instructions will be given about:

• When to arrive at the hospital
• Eating, drinking or G-tube restrictions
• Medication management prior to surgery

It is normal for your child or family to feel nervous or scared. It can help to ask questions and share your concerns with your child’s medical team.

What Are the Possible Risks and Complications of Gastric Pull-Up Surgery?

As with any surgical procedure, there are possible short- and long-term complications. Potential risks include:

• Trouble swallowing
• Weight loss
• Reflux
• Pneumonia
• Narrowing of the esophagus

Some complications may require additional treatment and / or surgery.

What is Recovery from Gastric Pull-Up Surgery Like?

Your child’s surgeon will provide specific instructions during your child’s recovery period.

Initial recovery from gastric pull-up lasts approximately two months, including a hospital stay of 10 to 21 days.

Typically, your child will receive intravenous (IV) nutrition for the first five to seven days after the operation. Your child may then be allowed to have liquids by mouth or tube feedings may be started. Your child should also use a pillow to raise their head while sleeping. This will prevent stomach acid from moving upward into the esophagus.

The doctor will continue to monitor your child’s condition in the following weeks and months. This monitoring will include office visits and endoscopies in the operating room. Depending on your child’s progress, they may need occasional follow-up visits in coming years.