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Resultados multidimensionales a largo plazo después del reemplazo esofágico pediátrico después de lesiones cáusticas:
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
Resumen
Los reemplazos esofágicos del colón y el tubo gástrico ofrecen resultados similares a largo plazo para los niños con lesiones cáusticas. Sin embargo, las solapas de colon mostraron un mejor bienestar psicosocial, destacando la necesidad de una atención de seguimiento personalizada.
Área de la Ciencia:
- Cirugía pediátrica en cirugía pediátrica.
- Gastroenterología y Gastroenterología.
- Calidad de vida Investigación Investigación de la calidad de vida.
Sus antecedentes:
- Las lesiones esofágicas causales en niños requieren reconstrucción quirúrgica.
- Los resultados a largo plazo de diferentes técnicas de reemplazo esofágico requieren una evaluación exhaustiva.
Objetivo del estudio:
- Para comparar los resultados multidimensionales a largo plazo entre el colón pedicled flap y el reemplazo esofágico del tubo gástrico en niños después de una lesión caústica.
- Para evaluar la calidad de vida gastrointestinal, psicosocial y funcional en estos pacientes.
Principales métodos:
- Estudio observacional transversal de 26 pacientes (de 6 a 22 años de edad) operados entre 1989 y 2022.
- Utilizó PedsQL GI, KIDSCREEN-52, SF-36, escala IDDSI y prueba de caminata de 6 minutos para una evaluación completa.
- Se compararon los resultados entre 17 reconstrucciones del colgajo y 9 reconstrucciones del tubo gástrico.
Principales resultados:
- No hubo diferencias significativas en los síntomas gastrointestinales (PedsQL GI) o las pruebas funcionales (6MWT) entre los grupos.
- El grupo de colonos pediculados reportó un bienestar psicosocial significativamente mayor (KIDSCREEN-52).
- El 38% de los pacientes requirió modificaciones en la textura de la dieta (niveles IDDSI 5-6), distribuidos de manera equitativa.
Conclusiones:
- Los reemplazos de esófago tanto en el colon como en el estómago producen resultados satisfactorios a largo plazo y calidad de vida.
- Los resultados psicosociales difieren, favoreciendo la reconstrucción del colón.
- La necesidad continua de adaptaciones dietéticas subraya la importancia del seguimiento multidisciplinario.
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