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Esophageal Replacement

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Book cover Pediatric Surgery

Abstract

The most common indications for esophageal replacement in children are a wide-gap or long-gap esophageal atresia or an esophageal stricture developing after corrosive ingestion. There are currently four surgical techniques for esophageal replacement in children, including colon interposition, gastric transposition, gastric tube, and jejunal interposition. Esophageal replacement is a complex procedure and involves a learning curve that involves identifying and managing the postoperative complications that may sometimes be serious.

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References

  • Abou Zeid AA, Zaki AM, Safoury HS. Posterior cologastric anastomosis: an effective antireflux mechanism in colonic replacement of the esophagus. Ann Thorac Surg. 2016;101:266–73.

    Article  Google Scholar 

  • AbouZeid AA, Zaki AM, Radwan AB et al. Colonic replacement of the esophagus: towards standardization of the technique. J Pediatr Surg. 2019. pii: S0022-3468 (19)30785-7.

    Google Scholar 

  • Angotti R, Molinaro F, Noviello C, et al. Gastric transposition as a valid surgical option for esophageal replacement in pediatric patients: experience from three Italian medical centers. Gastroenterol Rep (Oxf). 2017;5(1):47–51.

    Google Scholar 

  • Baggaley A, Reid T, Davidson J, et al. Late life revision surgery for dilated colonic conduit in long gap oesophageal atresia. Ann R Coll Surg Engl. 2018 Sep;100(7):e185–7.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Bax NM, Van Renterghem KM. Ileal pedicle grafting for esophageal replacement in children. Pediatr Surg Int. 2005;21:369–72.

    Article  PubMed  CAS  Google Scholar 

  • Borgnon J, Tounian P, Auber F, al e. Esophageal replacement in children by an isoperistaltic gastric tube: a 12-year experience. Pediatr Surg Int. 2004;20:829–33.

    Article  PubMed  CAS  Google Scholar 

  • Burgos L, Barrena S, Andrés AM, Martínez L, Hernández F, Olivares P, Lassaletta L, Tovar JA. Colonic interposition for esophageal replacement in children remains a good choice: 33-year median follow-up of 65 patients. J Pediatr Surg. 2010;45:341–5.

    Article  PubMed  Google Scholar 

  • Burrington JD, Stephens CA. Esophageal replacement with a gastric tube in infants and children. J Pediatr Surg. 1968;3:24–52.

    Article  PubMed  CAS  Google Scholar 

  • Chen HC, Tang YB. Microsurgical reconstruction of the esophagus. Semin Surg Oncol. 2000;19:235–45.

    Article  PubMed  CAS  Google Scholar 

  • Chen H, Lu JJ, Zhou J, Zhou X, Luo X, Liu Q, Tam J. Anterior versus posterior routes of reconstruction after esophagectomy: a comparative anatomic study. Ann Thorac Surg. 2009;87:400–4.

    Article  PubMed  Google Scholar 

  • Cheng BC, Chang S, Huang J, Mao ZF, Wang ZW, Lu SQ, Wang TS, Wu XJ, Hu H, Xia J, Kang GJ, Xiao YG, Lin HQ. Surgical anatomy of the colic vessels in Chinese and its influence on the operation of esophageal replacement with colon. Zhonghua Yi Xue Za Zhi. 2006;86:1453–6.

    PubMed  Google Scholar 

  • Chokshi NK, Guner YS, Ndiforchu F, Mathis R, Shin CE, Nguyen NX. Combined laparoscopic and thoracoscopic esophagectomy and gastric pull-up in a child. J Laparoendosc Adv Surg Tech A. 2009;19(Suppl 1):S197–200.

    Article  PubMed  Google Scholar 

  • Coopman S, Michaud L, Halna-Tamine M, Bonnevalle M, Bourgois B, Turck D, Gottrand F. Long-term outcome of colon interposition after esophagectomy in children. J Pediatr Gastroenterol Nutr. 2008;47:458–62.

    Article  PubMed  CAS  Google Scholar 

  • Davenport M, Hosie GP, Tasker RC, Gordon I, Kiely EM, Spitz L. Long-term effects of gastric transposition in children: a physiological study. J Pediatr Surg. 1996;31:588–93.

    Article  PubMed  CAS  Google Scholar 

  • Ein SH. Gastric tubes in children with caustic esophageal injury: a 32-year review. J Pediatr Surg. 1998;33:1363–5.

    Article  PubMed  CAS  Google Scholar 

  • Elshafei H, Elshafei E, ElDebeiky M, Hegazy N, Zaki A, Abdel Hay S. Colonic conduit for esophageal replacement: long-term endoscopic and histopathologic changes in colonic mucosa. J Pediatr Surg. 2012;47:1658–61.

    Article  PubMed  Google Scholar 

  • Ergün O, Celik A, Mutaf O. Two-stage coloesophagoplasty in children with caustic burns of the esophagus: hemodynamic basis of delayed cervical anastomosis–theory and fact. J Pediatr Surg. 2004;39:545–8.

    Article  PubMed  Google Scholar 

  • Esteves E, Sousa-Filho HB, Watanabe S, Silva JF, Neto EC, da Costa AL. Laparoscopically assisted esophagectomy and colon interposition for esophageal replacement in children: preliminary results of a novel technique. J Pediatr Surg. 2010;45:1053–60.

    Article  PubMed  Google Scholar 

  • Gallo G, Zwaveling S, Van der Zee DC, Bax KN, de Langen ZJ, Hulscher JB. A two-center comparative study of gastric pull-up and jejunal interposition for long gap esophageal atresia. J Pediatr Surg. 2015;50:535–9.

    Article  PubMed  Google Scholar 

  • Gaur P, Blackmon SH. Jejunal graft conduits after esophagectomy. J Thorac Dis. 2014;6(Suppl 3):S333–40.

    PubMed  PubMed Central  Google Scholar 

  • Gavrilescu S, Hanganu E, Sarbu I, Aprodu SG. Quality of life of patients with esophageal replacement for congenital and acquired esophageal anomalies. Rev Med Chir Soc Med Nat Iasi. 2013;117:334–6.

    PubMed  Google Scholar 

  • Glasser JG, Reddy PP, Adkins ES. Treatment of colon conduit redundancy in a child with esophageal atresia. Am Surg. 2006;72:260–4.

    PubMed  Google Scholar 

  • Gounot E, Borgnon J, Huet F, Sapin E. Isolated isoperistaltic gastric tube interposition for esophageal replacement in children. J Pediatr Surg. 2006;2006(41):592–5.

    Article  Google Scholar 

  • Gupta DK, Sharma S. Gastric transposition. In: Gupta DK, editor. Pediatric surgery diagnosis and management: Jaypee; 2008a. p. 409–21. Chapter 34.

    Google Scholar 

  • Gupta DK, Sharma S. Esophageal replacement with colon. In: Gupta DK, editor. Pediatric surgery diagnosis and management: Jaypee; 2008b. p. 382–90. Chap 32.

    Google Scholar 

  • Gupta DK, Sharma S. Primary gastric pull up in pure esophageal atresia: technique, feasibility and outcome. A prospective observational study. Pediatric Surg Int. 2011;27:583–5, 17.

    Article  Google Scholar 

  • Gupta DK, Charles AR, Srinivas M. Manometric evaluation of the intrathoracic stomach after gastric transposition in children. Pediatr Surg Int. 2004;20:415–8.

    PubMed  CAS  Google Scholar 

  • Gupta DK, Sharma S, Arora MK, Agarwal G, Gupta M, Grover VP. Esophageal replacement in the neonatal period in infants with esophageal atresia and tracheoesophageal fistula. J Pediatr Surg. 2007;42:1471–7.

    Article  PubMed  Google Scholar 

  • Hamza AF, Abdelhay S, Sherif H, et al. Caustic esophageal strictures in children: 30 years’ experience. J Pediatr Surg. 2003;38:828–33.

    Article  PubMed  Google Scholar 

  • Hashizume K, Dessanti A. Jejunal interposition as a substitute of esophagus. In: Gupta DK, editor. Pediatric surgery diagnosis and management: Jaypee; 2008. p. 422–5. Chapter 35.

    Google Scholar 

  • Hernández F, Rivas S, Avila LF, Luis AL, Martínez L, Lassaletta L, Murcia FJ, Tovar JA. Early esophageal replacement in patients with esophageal atresia. Cir Pediatr. 2003;16:112–5.

    PubMed  Google Scholar 

  • Ho AC, Yeo MS, Ciudad P, Chen HC. 2-stage free and pedicle jejunum for esophageal replacement after failed colon interposition for caustic injury in a 5 year-old child. J Plast Reconstr Aesthet Surg. 2014;67:417–9.

    Article  PubMed  Google Scholar 

  • Ionescu GO. Gastric tube esophageal replacement. In: Gupta DK, editor. Pediatric surgery diagnosis and management: Jaypee; 2008. p. 391–408. Chap 33.

    Google Scholar 

  • Ivanov AP, Nabokov VV, Miroshnikov BI, Galkina NV. Repeated plasty of the esophagus in children with the application of transplant from the ileum. Vestn Khir Im I I Grek. 2012;171:54–60.

    PubMed  CAS  Google Scholar 

  • Jain V, Sharma S, Kumar R, Kabra SK, Bhatia V, Gupta DK. Transposed intrathoracic stomach: functional evaluation. Afr J Paediatr Surg. 2012;9:210–6.

    Article  PubMed  Google Scholar 

  • Lee HQ, Hawley A, Doak J, Nightingale MG, Hutson JM. Long-gap oesophageal atresia: comparison of delayed primary anastomosis and oesophageal replacement with gastric tube. J Pediatr Surg. 2014;49:1762–6.

    Article  PubMed  Google Scholar 

  • Lima M, Destro F, Cantone N, Maffi M, Ruggeri G, Dòmini R. Long-term follow-up after esophageal replacement in children: 45-year single-center experience. J Pediatr Surg. 2015;50:1457–61.

    Article  PubMed  CAS  Google Scholar 

  • Lobeck I, Dupree P, Stoops M, et al. Interdisciplinary approach to esophageal replacement and major airway reconstruction. J Pediatr Surg. 2016;51:1106–9.

    Article  PubMed  Google Scholar 

  • Ludman L, Spitz L. Quality of life after gastric transposition for oesophageal atresia. J Pediatr Surg. 2003;38:53–7; discussion 53–7.

    Article  PubMed  Google Scholar 

  • Ng J, Loukogeorgakis SP, Pierro A, Kiely EM, De Coppi P, Cross K, Curry J. Comparison of minimally invasive and open gastric transposition in children. J Laparoendosc Adv Surg Tech A. 2014;24:742–9.

    Article  PubMed  Google Scholar 

  • Prabhu R, Kantharia C, Bapat R, Shukla A, Bhatia S, Supe A. Morphological and functional changes in colon after coloplasty for management of corrosive esophageal strictures. Indian J Gastroenterol. 2013;32:165–71.

    Article  PubMed  Google Scholar 

  • Ravelli AM, Spitz L, Milla PJ. Gastric emptying in children with gastric transposition. J Pediatr Gastroenterol Nutr. 1994;19:403–9.

    Article  PubMed  CAS  Google Scholar 

  • Ring WS, Varco RL, L'Heureux PR, Foker JE. Esophageal replacement with jejunum in children: an 18 to 33 year follow-up. J Thorac Cardiovasc Surg. 1982;83:918–27.

    Article  PubMed  CAS  Google Scholar 

  • Saeki M, Tsuchida Y, Ogata T, Nakano M, Akiyama H. Long-term results of jejunal replacement of the esophagus. J Pediatr Surg. 1988;23:483–9.

    Article  PubMed  CAS  Google Scholar 

  • Saldaña-Cortés JA, Larios-Arceo F, Prieto-Díaz-Chávez E, De Buen EP, González-Mercado S, Alvarez-Villaseñor AS, Prieto-Aldape MR, Fuentes-Orozco C, González-Ojeda A. Role of fibrin glue in the prevention of cervical leakage and strictures after esophageal reconstruction of caustic injury. World J Surg. 2009;33:986–93.

    Article  PubMed  Google Scholar 

  • Sharma S, Gupta DK. Surgical techniques for esophageal replacement in children. Pediatr Surg Int. 2017;33:527–50.

    Article  PubMed  Google Scholar 

  • Sharma S, Gupta DK. Colonic interposition for esophageal replacement in children. In Redkar R. IAPS texbook of Pediatric Surgery. Jaypee Brothers. 2020. Chapter 36:352–356

    Google Scholar 

  • Sherman CD, Waterston DJ. Esophageal reconstruction in children using colon. Arch Dis Child. 1957;32:11.

    Article  PubMed  PubMed Central  Google Scholar 

  • Soccorso G, Parikh DH. Esophageal replacement in children: challenges and long-term outcomes. J Indian Assoc Pediatr Surg. 2016;21:98–105.

    Article  PubMed  PubMed Central  Google Scholar 

  • Spitz L. Gastric transposition for esophageal substitution in children. J Pediatr Surg. 1992;27:252–9.

    Article  PubMed  CAS  Google Scholar 

  • Spitz L. Esophageal replacement: overcoming the need. J Pediatr Surg. 2014;49:849–52.

    Article  PubMed  Google Scholar 

  • Spitz L, Kiely E, Pierro A. Gastric transposition in children–a 21-year experience. J Pediatr Surg. 2004;39:276–81; discussion 276–81.

    Article  PubMed  Google Scholar 

  • Stringer DA, Pablot SM. Broncho-gastric tube fistula as a complication of esophageal replacement. J Can Assoc Radiol. 1985;36:61–2.

    PubMed  CAS  Google Scholar 

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Correspondence to Shilpa Sharma .

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Sharma, S., Gupta, D.K. (2020). Esophageal Replacement. In: Puri, P. (eds) Pediatric Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-38482-0_97-1

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  • DOI: https://doi.org/10.1007/978-3-642-38482-0_97-1

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  • Print ISBN: 978-3-642-38482-0

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