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Case Reports

Surgical Management of Late Complications After Colonic Interposition for Esophageal Atresia

Department of Surgery, St. Thomas' Hospital, London, United Kingdom

Accepted for publication May 15, 2008.

^_* Address correspondence to Dr Mason, Department of Surgery, St. Thomas' Hospital, Westminster Bridge Road, London, SE1 7EH, United Kingdom (Email: robert.mason{at}gstt.nhs.uk).

Late complications after colonic interposition for neonatal esophageal atresia may lead to debilitating symptoms, poor quality of life, and malnutrition in young adults with otherwise normal life expectancies. We report our experience with 3 patients who underwent revision surgery more than 20 years after colonic interposition. Revision surgery may relieve symptoms and improve quality of life in selected patients. However, for patients with recurrent symptoms, further reconstructive options may be limited due to the lack of an available conduit, and long-term enteral feeding may be the only option for these patients.