Colon (Including Ileum) Interposition

  • Mohammed Abdel-Lalif Ayad
  • Khaled Mohamed El-Asmer
  • Alaa Fayez Hamza
Chapter

Abstract

It is a fact that the native esophagus is the best; there is no better substitute for the native esophagus; no ideal graft. In pediatric surgery efforts are not saved to preserve the native esophagus, but reconstruction is considered in cases of failure. Cases that irreversibly lost their ability to normal oral feeding due to certain esophageal disorders either congenital or acquired are indicated for esophageal replacement. Arguments are still present about the organ used (whole stomach, gastric tube, small bowel, or colon), the route passed from the abdomen to the neck (subcutaneous, retrosternal, transthoracic, or posterior mediastinal), the surgical technique, and the urge to remove the native diseased esophagus. The colon is the most commonly used organ, and experienced centers consider the colon as a good substitute in caustic strictures.

Keywords

Esophageal atresia Tracheoesophageal fistula Colon Colonic interposition Management Perioperative Outcome 

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Copyright information

© Springer-Verlag Berlin Heidelberg 2017

Authors and Affiliations

  • Mohammed Abdel-Lalif Ayad
    • 1
  • Khaled Mohamed El-Asmer
    • 1
  • Alaa Fayez Hamza
    • 1
  1. 1.Department of Pediatric SurgeryAin Shams UniversityCairoEgypt

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