Surgical management of late complications after colonic interposition for esophageal atresia.
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.
Dhir
Rishi
R
Department of Surgery, St. Thomas' Hospital, London, United Kingdom.
Sutcliffe
Robert P
RP
Rohatgi
Ashish
A
Forshaw
Matthew J
MJ
Strauss
Dirk C
DC
Mason
Robert C
RC
D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D003082:Colectomy / Q000379:methods; D003106:Colon / Q000637:transplantation*; D003680:Deglutition Disorders / Q000209:etiology / Q000601:surgery*; D004933:Esophageal Atresia / Q000175:diagnosis / Q000601:surgery*; D004944:Esophagoplasty / Q000009:adverse effects* / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery; D011788:Quality of Life; D019651:Plastic Surgery Procedures / Q000379:methods; D012086:Reoperation / Q000379:methods; D018570:Risk Assessment; D012494:Sampling Studies; D013997:Time Factors; D016896:Treatment Outcome