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Related Experiment Videos

Colon interposition for esophagus in children.

W H Hendren, W G Hendren

    Journal of Pediatric Surgery
    |December 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    Colon interposition is an excellent esophageal substitute for pediatric patients, offering good long-term growth and manageable complications. This surgical technique provides a reliable solution for various esophageal conditions.

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    Area of Science:

    • Pediatric Surgery
    • Gastroenterology
    • Thoracic Surgery

    Background:

    • Esophageal substitution is a complex procedure for conditions like esophageal atresia and caustic injury.
    • Previous reconstructions often fail, necessitating alternative surgical approaches.
    • The transverse colon, utilized on a vascular pedicle, has emerged as a viable option.

    Purpose of the Study:

    • To evaluate the efficacy and long-term outcomes of colon interposition as an esophageal substitute in pediatric patients.
    • To assess complication rates and the impact on patient growth.
    • To determine the suitability of this technique for various esophageal pathologies.

    Main Methods:

    • A retrospective review of 32 patients undergoing esophageal substitution between 1959 and 1984.

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  • Transverse colon interposition using the left colic artery vascular pedicle was the primary method.
  • Indications included esophageal atresia, caustic injury, peptic stricture, and failed prior reconstructions.

    • Main Results:

    • One postoperative death occurred early in the series; other complications included minor leaks and redundancy requiring reoperation.
    • No colon segments were lost due to ischemia.
    • Nineteen patients had over ten years of follow-up (mean 18 years), with excellent growth observed in most, correlating with preoperative weight and absence of anomalies in atresia patients.

    Conclusions:

    • Colon conduit provides an excellent esophageal substitute in pediatric patients.
    • The procedure has a low rate of major complications, many of which are avoidable and correctable.
    • Satisfactory long-term results and growth can be achieved with this surgical approach.