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Colonic Interposition

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Long-gap Esophageal Atresia

Part of the book series: Progress in Pediatric Surgery ((PEDIATRIC,volume 19))

Abstract

In 1894, Bircher was the first to use a multistage antethoracic skin tube to replace the esophagus. The first babies to survive with esophageal atresia underwent similar multistage procedures following gastrostomy and cervical esophagostomy (Leven 1936; Ladd 1944). Jejunum was used via the antethoracic subcutaneous route by Roux (1907) and by Swenson (1947) for esophageal atresia. In one case of esophageal atresia the stomach was used via an anterior subcutaneous route, and later placed intrathoracically by cleavage of the underlying tissues (Potts 1950). A gastric tube was advocated by Jianu (1912) and used in esophageal atresia by Boerema (1951). The colon was used by Kelling (1911) and then by Lundblad for a 3-year-old with a caustic stricture (1921). Colon interposition via an intrathoracic route was first attempted by Sandblom in 1948 (Sandblom 1948), and Waterston (1972) was the first to use a graft of transverse colon based on the left colic artery, via the diaphragm and the left chest, through the apex of the pleura to join the cervical esophagotomy. The retrosternal route with the right colon was used by Javid (1954).

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References

  • Andrassey RJ, Patterson RS, Ashley J, Patrissi G, Mahour GH (1983) Long-term nutritional assessment of patients with esophageal atresia and/or tracheoesophageal atresia. J Paediatr Surg 18:431–435

    Article  Google Scholar 

  • Azar H, Chrispin A, Waterston D (1971) Esophageal replacement with transverse colon. J Paediatr Surg 6:3–9

    Article  CAS  Google Scholar 

  • Belsey R (1983) Reconstruction of the oesophagus. Ann R Coll Surg (Engl) 65:360–364

    CAS  Google Scholar 

  • Bentley J (1965) Primary colonic substitution for atresia of the esophagus. Surgery 58:731–736

    Google Scholar 

  • Bircher E (1907) Ein Beitrag zur plastischen Bildung eines neuen Oesophagus. Zentralbl Chir 34:1479

    Google Scholar 

  • Boerema I (1951) Resection de l’œsophage, suivri de rétablissement de la continuité par resection de l’estomac en formant un tube gastrique. Acta Chir Belg 50:496

    PubMed  CAS  Google Scholar 

  • Freeman NV, Cass DT (1982) Colon interposition. A modification of the Waterston technique using the normal oesophageal route. J Paediatr Surg 17:17–21

    Article  CAS  Google Scholar 

  • Javid H (1954) Esophageal reconstruction using colon and terminal ileum. Surgery 36:132–135

    PubMed  CAS  Google Scholar 

  • Jianu A (1912) Gastrostomie und Oesophagoplastik. Dtsch Z Chir 11:8

    Google Scholar 

  • Jolleys A (1981) An examination of the birth weights of babies with some anomalies of the ailmentary tract. J Paediatr Surg 16:160–163

    Article  CAS  Google Scholar 

  • Kelling G (1911) Oesophagoplastik mit Hilfe des Quercolon. Zentralbl Chir 38:1209

    Google Scholar 

  • Ladd WE (1944) The surgical treatment of esophageal atresia and tracheofistula. N Engl J Med 230:625

    Article  Google Scholar 

  • Leven NL (1936) Congenital atresia with tracheo-oesophageal fistula. J Thorac Surg 6:30

    Google Scholar 

  • Louhimo I, Pasila M, Visa Korpi JK (1969) Late gastrointestinal complications in patients with colonic replacement of the oesophagus. J Paediatr Surg 4:663–673

    Article  CAS  Google Scholar 

  • Lundblad O (1921) Ãœber antethoracle Ösophagusplastik. Acta Chir Scand 53:535

    Google Scholar 

  • Lynn HB (1973) Simple method of elongating a colon segment for oesophageal replacement. J Paediatr Surg 8:391–394

    Article  CAS  Google Scholar 

  • Marshall R (1972) The results of laboratory and cineradiographic investigation after oesophageal resection. In: Smith RA, Smith RE (eds) Surgery of the oesophagus. Butterworths, London, pp 9–18

    Google Scholar 

  • Otherson HB, Clatworthy HW (1967) Functional evaluation of oesophageal replacement in children. J Thorac Cardiovasc Surg 53:55–63

    Google Scholar 

  • Petterson G (1962) Experience in oesophageal reconstruction. Arch Dis Child 37:184–189

    Article  Google Scholar 

  • Potts WJ (1950) Congenital atresia of the oesophagus; antethoracic placement of the stomach followed by intrathoracic transplantation. J Thorac Surg 20:701–705

    Google Scholar 

  • Rogers BM, Talbert JL, Moazam F (1978) Functional and metabolic evaluation of colon replacement of the esophagus in children. J Paediatr Surg 13:35–39

    Article  Google Scholar 

  • Roux C (1907) L’œsophago-jenuno-gastrostomose: nouvell operation pour rétrécis segment intranchissable de l’œsophage. Sem Med 27:37

    Google Scholar 

  • Sandblom P (1948) Treatment of congenital atresia of the oesophagus from a technical point of view. Acta Chir Scand 97:25

    PubMed  CAS  Google Scholar 

  • Schiller M, Frye TR, Boles ET (1971) Evaluation of colon replacement in children. J Paediatr Surg 6:753–760

    Article  CAS  Google Scholar 

  • Sherman CD, Waterston DW (1957) Oesophageal reconstruction in children using intrathoracic colon. Arch Dis Child 32:11–16

    Article  PubMed  Google Scholar 

  • Sieber AM, Sieber WK (1968) Colonic transplants as esophageal replacement. Cineradiographic and manometric evaluation in children. Ann Surg 168:116–122

    Article  PubMed  CAS  Google Scholar 

  • Soave F (1972) Intrathoracic transposition of the transverse colon in complicated oesophageal atresia. Proc Paediatr Surg 4:91–109

    CAS  Google Scholar 

  • Swenson O (1947) Anterior thoracic esophagus. Am J Surg 74:69

    Article  PubMed  CAS  Google Scholar 

  • Tanner JM (1978) Foetus into man. Open Books, London, p 144

    Google Scholar 

  • Waterston D (1972) The long-term clinical state after resection with colon replacement in children. In: Smith RA, Smith RE (eds) Surgery of the oesophagus. Butterworths, London, pp 35–10

    Google Scholar 

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© 1986 Springer-Verlag Berlin Heidelberg

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Freeman, N.V. (1986). Colonic Interposition. In: Wurnig, P. (eds) Long-gap Esophageal Atresia. Progress in Pediatric Surgery, vol 19. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-70777-3_7

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  • DOI: https://doi.org/10.1007/978-3-642-70777-3_7

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-70779-7

  • Online ISBN: 978-3-642-70777-3

  • eBook Packages: Springer Book Archive

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