Stapled tapering coloplasty to manage colon interposition graft redundancy for long-gap esophageal atresia.
Long gap esophageal atresia continues to be a therapeutic challenge for the pediatric surgeon. Although numerous methods have been described to achieve esophageal continuity in infants with esophageal atresia, esophageal replacement is often required if these methods fail. A common method of esophageal replacement in children is the use of a colon graft. Complications include cervical anastomotic leak, stricture, redundant intrathoracic colon with stasis, and cologastric reflux. We present an 11-year-old male with swallowing difficulties because of redundancy of the colon after undergoing colon interposition for long gap atresia. The patient underwent a successful transhiatal mobilization of the intrathoracic colon and stapled tapering coloplasty. The patient currently remains symptom-free.
Hartin
Charles W
CW
Division of Pediatric Surgery, Department of Surgery, Women and Children's Hospital of Buffalo, State University of New York at Buffalo, Buffalo, NY 14222, USA.
Escobar
Mauricio A
MA
Yamout
Sani Z
SZ
Caty
Michael G
MG
D000714:Anastomosis, Surgical; D002648:Child; D003106:Colon / Q000601:surgery*; D003371:Cough / Q000209:etiology; D003680:Deglutition Disorders / Q000209:etiology / Q000601:surgery*; D004108:Dilatation, Pathologic / Q000209:etiology / Q000601:surgery; D004933:Esophageal Atresia / Q000601:surgery*; D004944:Esophagoplasty / Q000379:methods*; D005764:Gastroesophageal Reflux / Q000209:etiology; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery*; D017792:Surgical Stapling / Q000379:methods*; D000267:Tissue Adhesions / Q000601:surgery; D014182:Transplantation, Autologous; D016042:Transplantation, Heterotopic; D014839:Vomiting / Q000209:etiology