HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): James P. Kelly Charles L. Roper Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Kelly, J. P. Articles by Roper, C. L. Search for Related Content PubMed PubMed Citation Articles by Kelly, J. P. Articles by Roper, C. L.

Ann Thorac Surg 1983;36:634-643
© 1983 The Society of Thoracic Surgeons

---

Articles

Esophageal Replacement with Colon in Children: Functional Results and Long-term Growth

From the Division of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine, and the Division of Pediatric Radiology, Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO

^* Address reprint requests to Dr. Kelly, Tulane University School of Medicine, Department of Surgery, 1430 Tulane Ave, New Orleans, LA 70112

Twenty-three children consecutively undergoing colon interposition for esophageal replacement were evaluated with barium swallows, clinical interviews, and questionnaires. Fourteen patients underwent colon interposition because of caustic burns of the esophagus only or of the hypopharynx and esophagus. Nine children had long-segment esophageal atresia or esophageal atresia with tracheoesophageal fistula and are included in our operative group. The mean follow-up was 12.8 years for all patients. Strictures, leaks, and colon ischemia at the proximal anastomosis represent the major morbidity for the operative procedure. Analysis of growth charts reveals that patients who ingest lye tend to remain in the 50th percentile after colon transplant, while patients with esophageal atresia or tracheoesophageal fistula who had been in the 12th percentile preoperatively improved to the 33rd percentile after successful transplantation. Radiographic examinations, functional results, and growth curves demonstrated excellent results in 20 patients. Although the choice of a conduit for esophageal replacement is controversial, the surgeon can expect good long-term function and growth with the use of colon in children.

This article has been cited by other articles:

				R. Dhir, R. P. Sutcliffe, A. Rohatgi, M. J. Forshaw, D. C. Strauss, and R. C. Mason Surgical Management of Late Complications After Colonic Interposition for Esophageal Atresia Ann. Thorac. Surg., December 1, 2008; 86(6): 1965 - 1967. [Abstract] [Full Text] [PDF]

				D. X. Li, M. S. Levine, S. E. Rubesin, and I. Laufer Nonanastomotic Strictures After Colonic Interposition Am. J. Roentgenol., July 1, 2007; 189(1): 30 - 34. [Abstract] [Full Text] [PDF]

				O. Genc, R. K. Knight, A. G. Nicholson, and P. Goldstraw Adenocarcinoma arising in a retained esophageal remnant Ann. Thorac. Surg., December 1, 2001; 72(6): 2117 - 2119. [Abstract] [Full Text] [PDF]

				B. Dreuw, J. Fass, S. Titkova, M. Anurov, M. Polivoda, A. P. Ottinger, and V. Schumpelick Colon interposition for esophageal replacement: isoperistaltic or antiperistaltic? Experimental results Ann. Thorac. Surg., January 1, 2001; 71(1): 303 - 308. [Abstract] [Full Text] [PDF]

				L. Bonavina, B. Chella, A. Segalin, and S. Luzzani Surgical Treatment of the Redundant Interposed Colon After Retrosternal Esophagoplasty Ann. Thorac. Surg., May 1, 1998; 65(5): 1446 - 1448. [Abstract] [Full Text] [PDF]

				M.-H. Wu, W.-W. Lai, M.-Y. Lin, and N.-S. Chou Prevention and management of strictures after hypopharyngocolostomy or esophagocolostomy Ann. Thorac. Surg., July 1, 1994; 58(1): 108 - 111. [Abstract] [PDF]

				D. B. Skinner Technical and scientific advances in general thoracic surgery Ann. Thorac. Surg., January 1, 1990; 49(1): 14 - 25. [PDF]

				J. Isolauri, H. Markkula, and V. Autio Colon Interposition in the Treatment of Carcinoma of the Esophagus and Gastric Cardia Ann. Thorac. Surg., April 1, 1987; 43(4): 420 - 424. [Abstract] [PDF]

				M. V. Kamath, R. G. Ellison, J. W. Rubin, H. V. Moore, and G. P. Pai Esophageal Mucocele: A Complication of Blind Loop Esophagus Ann. Thorac. Surg., March 1, 1987; 43(3): 263 - 269. [Abstract] [PDF]