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[Indications for esophageal replacement in children]

S G Aprodu1, Simona Gavrilescu, B Savu

  • 1Universitatea de Medicină şi Farmacie Gr.T. Popa Iaşi Facultatea de Medicină, Clinica de Chirurgie şi Ortopedie Pediatrică.

Revista Medico-Chirurgicala a Societatii De Medici Si Naturalisti Din Iasi
|July 12, 2005
PubMed

Insights

Pediatric esophageal replacement surgery using colon or gastric grafts is common for atresia and strictures. Caustic ingestion was the most frequent reason for these complex esophageal substitution procedures in children.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Thoracic Surgery

Context:

  • Esophageal substitution is necessary for pediatric esophageal atresia, caustic ingestion strictures, and peptic esophagitis.
  • Current esophageal replacement techniques include colon segment esophagoplasty and gastric tube esophagoplasty.
  • Colon segment esophagoplasty is frequently preferred by pediatric surgeons.

Purpose:

  • To present personal experience in managing pediatric esophageal replacement over 10 years.
  • To analyze outcomes and complications of esophageal substitution in children.
  • To highlight the prevalence of caustic ingestion as an indication for esophageal replacement.

Summary:

  • A series of 56 children underwent esophageal replacement.
  • Indications included 46 cases of caustic ingestion, 3 of peptic esophagitis, and 7 of long-gap esophageal atresia.
  • Good results were achieved in 42 cases, with 13 complications and 5 fatal outcomes.

Impact:

  • This study underscores the significant role of esophageal substitution in managing severe pediatric esophageal conditions.
  • The high incidence of procedures following caustic ingestion emphasizes the need for preventative measures.
  • Findings contribute to understanding the outcomes of different esophageal replacement strategies in pediatric patients.

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