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[Esophageal replacement by right colon in children]
1Dept. of Pediatric Surgery, Rambam Medical Center, Haifa.
Harefuah
|September 1, 1989
Insights
Pediatric patients underwent successful esophageal replacement using the right colon (colonic transplant) for atresia or caustic strictures. Long-term follow-up showed normal physical and mental development with no mortality.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Thoracic Surgery
Context:
- Esophageal atresia and severe esophageal strictures pose significant challenges in pediatric patients.
- Surgical reconstruction of the esophagus is critical for patient survival and quality of life.
Purpose:
- To evaluate the long-term outcomes of retrosternal right colon interposition for esophageal replacement in children.
- To assess the safety and efficacy of colonic transplant for esophageal atresia and caustic strictures.
Summary:
- Ten children underwent retrosternal right colon interposition for esophageal replacement between 1977 and 1986.
- Indications included esophageal atresia (6 cases) and severe esophageal stricture post-caustic ingestion (4 cases).
- No mortality was observed; patients exhibited normal physical and mental development 2-9 years post-transplant.
Impact:
- This study demonstrates the viability and positive long-term results of using the right colon for esophageal reconstruction in pediatric cases.
- The technique offers a safe and effective solution for complex esophageal defects, leading to normal development.
- Highlights the potential for colon interposition as a durable esophageal substitute in pediatric surgery.
Abstract:
In 10 children operated on during 1977-86 the esophagus was replaced by the right colon which was brought up into the neck retrosternally. In 6 of them esophageal atresia, and in 4 severe stricture of the esophagus after ingestion of caustic liquids were the indications for operation. There was no mortality; 2-9 years after colonic transplant the patients have normal physical and mental development.