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Multidimensional long-term outcomes after pediatric esophageal replacement following caustic injuries: a comparative

Michaël de Sousa Amaral1, Esperance Houmenou2, Natacha Nouwakpo3

  • 1Department of Pediatric Surgery, CURCP, Centre Hospitalier Universitaire Vaudois, Lausanne University Hospital, Lausanne, VD, Switzerland.

World Journal of Pediatric Surgery
|February 9, 2026
PubMed

Insights

Colonic pedicled flap and gastric tube esophageal replacements offer similar long-term outcomes for children with caustic injuries. However, colonic flaps showed better psychosocial well-being, highlighting the need for tailored follow-up care.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Quality of Life Research

Background:

  • Caustic esophageal injuries in children necessitate surgical reconstruction.
  • Long-term outcomes of different esophageal replacement techniques require comprehensive evaluation.

Purpose of the Study:

  • To compare multidimensional long-term outcomes between colonic pedicled flap and gastric tube esophageal replacement in children post-caustic injury.
  • To assess gastrointestinal, psychosocial, and functional quality of life in these patients.

Main Methods:

  • Cross-sectional observational study of 26 patients (aged 6-22) operated on between 1989-2022.
  • Utilized PedsQL GI, KIDSCREEN-52, SF-36, IDDSI scale, and 6-Minute Walk Test for comprehensive assessment.
  • Compared outcomes between 17 colonic flap and 9 gastric tube reconstructions.

Main Results:

  • No significant differences in gastrointestinal symptoms (PedsQL GI) or functional tests (6MWT) between groups.
  • Colonic pedicled flap group reported significantly higher psychosocial well-being (KIDSCREEN-52).
  • 38% of patients required dietary texture modifications (IDDSI levels 5-6), equally distributed.

Conclusions:

  • Both colonic and gastric esophageal replacements yield satisfactory long-term results and quality of life.
  • Psychosocial outcomes differ, favoring colonic flap reconstruction.
  • Ongoing need for dietary adaptations underscores the importance of multidisciplinary follow-up.
Abstract

Keywords:
Colorectal SurgeryPediatricsPsychology, Child

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