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Colon patch esophagoplasty for caustic esophageal stricture
A P Kennedy1, B H Cameron, C W McGill
1Department of General Surgery, Geisinger Medical Center, Danville, PA 17822-2111, USA.
Journal of Pediatric Surgery
|August 1, 1995
Summary
Colon patch esophagoplasty offers a promising alternative for children with severe caustic esophageal strictures, preserving natural function. This surgical technique successfully restored normal eating in two pediatric patients, avoiding esophageal replacement.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Otolaryngology
Background:
- Caustic esophageal injury can lead to long strictures requiring reconstruction.
- Current esophageal substitution methods often fail to restore native esophageal function.
- Colon patch esophagoplasty aims to preserve esophageal peristalsis and antireflux properties.
Observation:
- Two pediatric patients with severe lye-induced esophageal strictures underwent colon patch esophagoplasty.
- The procedure involved tailoring a left colon segment to the stricture and side-to-side anastomosis.
- One patient required revision for recurrent stricture and diverticulum.
Findings:
- Follow-up endoscopy confirmed esophageal healing and stricture resolution in both patients.
- Both children achieved normal oral intake 3 years post-surgery without gastroesophageal reflux symptoms.
- Colon patch esophagoplasty demonstrated effectiveness in treating long caustic esophageal strictures.
Implications:
- Colon patch esophagoplasty serves as a viable alternative to esophageal replacement for extensive strictures.
- This technique preserves the functional integrity of the remaining native esophagus.
- It offers improved long-term outcomes for pediatric patients with caustic esophageal injuries.