|Year : 2003 | Volume
| Issue : 2 | Page : 91-95
Esophageal reconstruction with jejunum or colon
A Kaminski, M Szymczak, D Broniszczak, P Nachulewicz, P Kalicinski, S Milnerowicz, D Grabowski, W Knast
Department of Pediatric Surgery and Transplantation, The Children's Memorial Health Institute, Warsaw, Poland
ABSTRACT: During the last 4-year period 25 children from 9 months to 15 years underwent esophageal reconstruction with interposed segment of colon or jejunum. The diagnosis was : long-gap atresia -17 cases, chemical burns-6 and Barrett's esophagus-2. Esophagus was reconstructed with colon in 18 cases and jejunum in 7 cases. Among early complications upper anastomotic fistula was diagnosed in 6 patients and upper anastomotic stricture in 1. There were 2 cases of graft necrosis. The follow up was from 3 month to 4 years. One patient died 12 month after surgery due to a reason not related to esophageal reconstruction. Six patients developed late stricture of upper amastomosis, 6 patients bled due to gastric reflux after colonic interposition. All remaining patients but one, who is still waiting for another reconstruction after graft necrosis, are doing well with only oral feeding.
Department of Pediatric Surgery and Transplantation, The Children's Memorial Health Institute, Warsaw
Source of Support: None, Conflict of Interest: None