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Late Follow-Up of Colon Interpositions

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Esophageal and Gastric Disorders in Infancy and Childhood

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Abstract

The replacement of the esophagus in the pediatric patient is most commonly used in those with congenital esophageal atresia (complicated or long-gap) or those with irreversible damage from caustic ingestion. An interposition using the colon is a technically challenging operation and has rare mortality, but complications are frequent and are related to the length of follow-up. Perseverance in management is necessary as many occur decades following the initial operation; surgical revision is often required. Follow-up now extends to 25 years in some series, which have shown very satisfactory long-term results. We review many large series, reporting long-term outcome and management of late complications. In the senior authors’ experience, the colon conduit provides an excellent substitute esophagus for the pediatric patient.

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Author information

Authors and Affiliations

  1. Department of Surgery, Boston Children’s Hospital, 300 Longwood Ave., Fegan 3, Boston, MA, 02115, USA

    Terry Lynn Buchmiller MD & William Hardy Hendren III MD

Authors
  1. Terry Lynn Buchmiller MD
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  2. William Hardy Hendren III MD
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Corresponding author

Correspondence to Terry Lynn Buchmiller MD .

Editor information

Editors and Affiliations

  1. Medical University of Graz, Graz, Austria

    Holger Till

  2. Sheffield Children’s Hospital, Paediatric Gastroenterology Centre, Sheffield, United Kingdom

    Mike Thomson

  3. Division of Cardiothoracic Surgery, Department of Surgery, University of Minnesota Medical School, Minneapolis, Minnesota, USA

    John E. Foker

  4. Department Surgery, University of Missouri, Kansas City Children’s Mercy Hospital, Kansas City, Missouri, USA

    George W. Holcomb III

  5. University of Arizona, Tucson, Arizona, USA

    Khalid M. Khan

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Buchmiller, T.L., Hendren, W.H. (2017). Late Follow-Up of Colon Interpositions. In: Till, H., Thomson, M., Foker, J., Holcomb III, G., Khan, K. (eds) Esophageal and Gastric Disorders in Infancy and Childhood. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-11202-7_56

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  • DOI: https://doi.org/10.1007/978-3-642-11202-7_56

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-11201-0

  • Online ISBN: 978-3-642-11202-7

  • eBook Packages: MedicineMedicine (R0)

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