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The use of ileocolic segment for esophageal replacement in children

Harshjeet Singh Bal1, Sudipta Sen2

  • 1Department of Pediatric Surgery, Christian Medical College, Vellore, India.

Journal of Indian Association of Pediatric Surgeons
|July 2, 2016
PubMed

Insights

Ileocolic replacement of the esophagus is a viable option for children with severe esophageal injuries. This procedure effectively restored swallowing function in most patients, offering a solution when other methods fail.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Thoracic Surgery

Background:

  • Esophageal injuries in children often necessitate complex reconstructive surgery.
  • Traditional methods like gastric pull-up may not be suitable for all cases, especially with high cervical involvement or scarred stomachs.

Purpose of the Study:

  • To evaluate the procedure and outcomes of using an ileocolic segment for esophageal replacement in pediatric patients.
  • To describe the indications and efficacy of this surgical technique.

Main Methods:

  • A retrospective review of 7 children who underwent ileocolic esophageal replacement between 2006 and 2014.
  • Analysis of patient demographics, indications, surgical procedure, and follow-up outcomes.

Main Results:

  • Seven children (4 girls, 3 boys) with scarred or inadequate esophagi underwent isoperistaltic ileocolic segment esophageal replacement.
  • Indications included corrosive strictures (5), failed esophageal atresia repair (1), and gastric volvulus-related stricture (1).
  • Six out of seven children were dysphagia-free at an average follow-up of 37 months; one child with a corrosive stricture was lost to follow-up and later died.

Conclusions:

  • Ileocolic segment esophageal substitution, while uncommon, is a valuable technique for specific pediatric esophageal reconstructions.
  • It is particularly useful when the reconstruction needs to extend to the high cervical esophagus or when the stomach is unsuitable for gastric pull-up.
Abstract

Keywords:
Childrenesophageal replacementileocolic

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