Stapled tapering coloplasty to manage colon interposition graft redundancy for long-gap esophageal atresia

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Updated: Jun 27, 2026

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
09:40

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function

Published on: April 17, 2020

Charles W Hartin1, Mauricio A Escobar, Sani Z Yamout

  • 1Division of Pediatric Surgery, Department of Surgery, Women and Children's Hospital of Buffalo, State University of New York at Buffalo, Buffalo, NY 14222, USA.

Journal of Pediatric Surgery
|December 2, 2008
PubMed

Insights

Long gap esophageal atresia can necessitate esophageal replacement using a colon graft. A novel surgical technique successfully addressed colon redundancy, resolving swallowing difficulties in a pediatric patient.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery
  • Thoracic Surgery

Background:

  • Long gap esophageal atresia presents significant surgical challenges, often requiring esophageal replacement.
  • Colon interposition is a common esophageal replacement technique in children, but can lead to complications like colon redundancy.
  • Redundant colon can cause dysphagia (swallowing difficulties) and other gastrointestinal issues.

Observation:

  • An 11-year-old male experienced swallowing difficulties due to a redundant colon following a colon interposition procedure for long gap esophageal atresia.
  • The patient's symptoms significantly impacted his quality of life.

Findings:

  • A transhiatal mobilization of the intrathoracic colon was performed.
  • A stapled tapering coloplasty was utilized to reduce colon redundancy.
  • The patient experienced complete resolution of swallowing difficulties post-operatively.

Implications:

  • This case demonstrates the efficacy of transhiatal mobilization and stapled tapering coloplasty for managing redundant colon after esophageal replacement.
  • The described surgical approach offers a potential solution for dysphagia in pediatric patients with complex esophageal atresia histories.
  • This technique may improve outcomes and quality of life for children undergoing esophageal replacement surgery.

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