Related Experiment Video

Updated: Feb 24, 2026

Author Spotlight: Recent Advancements in Reoperative Foregut Surgery
04:14

Author Spotlight: Recent Advancements in Reoperative Foregut Surgery

Published on: September 22, 2023

964

[Esophageal plasty in children. Retrospective study of 22 colonic transplants. Current orientation]

A Delarue, J Y Kurzenne, O Illi

    Chirurgie Pediatrique
    |January 1, 1985
    PubMed

    Insights

    Transverse colon esophageal replacement is effective for caustic stenosis, with early intervention recommended if dilatations fail. Improved techniques reduced complications, leading to a shift towards gastric tube use.

    Area of Science:

    • Gastroenterology
    • Surgical Techniques
    • Pediatric Surgery

    Context:

    • Esophageal replacement is a complex procedure for conditions like caustic stenosis and atresia.
    • Traditional methods have varying success rates and complication profiles.
    • The use of transverse colon with a left colic pedicle has been explored as an alternative.

    Purpose:

    • To review the outcomes of esophageal replacement using transverse colon with a left colic pedicle.
    • To evaluate the efficacy of this technique in patients with caustic stenosis and esophageal atresia.
    • To assess the impact of surgical technique improvements on patient outcomes.

    Summary:

    • The study reviewed 18 cases of esophageal replacement for caustic stenosis (one death) and 4 for atresia (no mortality).
    • Early colon transplant (after 3 months) is advocated for caustic stenosis if dilatations fail.
    • Technique improvements, including stapler use, prevented complications in the last 8 patients, enabling a switch to isoperistaltic gastric tubes.

    Impact:

    • Improved surgical techniques, such as stapler use, significantly reduce complications in esophageal replacement.
    • Early intervention in caustic stenosis can lead to better outcomes.
    • The findings support a potential shift towards alternative reconstructive methods like gastric tubes in specific cases.

    More Related Videos

    An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function09:40

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

    Published on: April 17, 2020

    15.2K
    ADSC-sheet Transplantation to Prevent Stricture after Extended Esophageal Endoscopic Submucosal Dissection05:57

    ADSC-sheet Transplantation to Prevent Stricture after Extended Esophageal Endoscopic Submucosal Dissection

    Published on: February 10, 2017

    8.9K

    Related Concept Videos

    Esophageal Strictures-II: Clinical Features and Management01:26

    Esophageal Strictures-II: Clinical Features and Management

    Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
    Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
    738
    Esophageal Strictures-I: Introduction01:30

    Esophageal Strictures-I: Introduction

    Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
    Etiology
    The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
    984
    Barrett Esophagus-II: Clinical Manifestations and Management01:21

    Barrett Esophagus-II: Clinical Manifestations and Management

    Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
    To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
    1.2K
    Esophageal Varices-II: Clinical Features and Management01:28

    Esophageal Varices-II: Clinical Features and Management

    Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
    In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
    658
    Esophageal Varices-I: Introduction01:24

    Esophageal Varices-I: Introduction

    Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
    1.7K
    Esophageal Perforation-II: Clinical Manifestations and Management01:28

    Esophageal Perforation-II: Clinical Manifestations and Management

    Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
    Clinical Manifestations:
    793