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[The results of coloesophagoplasty in childhood]
Insights
Colo-esophagoplasty effectively treats pediatric esophageal diseases. This colon graft surgery shows good results, making it a suitable option for children needing esophageal reconstruction.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
- Esophageal Reconstruction
Background:
- Congenital and acquired esophageal diseases affect children.
- Esophageal replacement is a complex surgical challenge in pediatric patients.
Purpose of the Study:
- To discuss indications and procedures for pediatric colo-esophagoplasty.
- To analyze outcomes and complications of colon graft esophageal replacement in children.
Main Methods:
- Review of 31 pediatric patients undergoing colo-esophagoplasty between 1988-1993.
- Two primary surgical techniques: retrosternal transposition and transhiatal esophagectomy with simultaneous graft placement.
Main Results:
- Colo-esophagoplasty was performed on 31 children for various esophageal conditions.
- Operative lethality was reported at 9.7%.
Conclusions:
- Colo-esophagoplasty is an effective method for esophageal reconstruction in children.
- The described methods yield good results and are considered appropriate for pediatric patients.
Abstract:
Over a six-year period (1988 through 1993), a total of 380 children with congenital and acquired esophageal diseases undergo treatment in the Second Pediatric Surgery Clinic. Plastic replacement of esophagus using a graft from the colon is performed in 31 children. The indications and procedures for colo-esophagoplasty in children are discussed. Two basic operative methods are employed--retrosternal transposition of the colon transplant (with preservation of the esophagus or in children with previous extirpation, as well as in children with esophageal atresia), or transhiatal (transabdominal) esophagectomy with simultaneous placement of the transplant into the esophageal bed. The underlying cases of early and late postoperative complications are analyzed. Emphasis is laid on the good results of the method described (operative lethality amounting to 9.7 per cent) accordingly considered as the most appropriate for children.