Laparoscopically assisted esophagectomy and colon interposition for esophageal replacement in children: preliminary results of a novel technique

Esteves, Edward; Sousa-Filho, Humberto Barbosa; Watanabe, Seiji; Silva, José Ferreira; Neto, Eriberto Clemente; Costa, André Luiz da

doi:10.1016/j.jpedsurg.2010.01.013

Cited by 30 publications

(48 citation statements)

References 40 publications

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“…1,4 At our center, the indications for esophageal replacement increased in the last five years relatively toward complicated esophageal atresia with less indicated caustic esophageal strictures. 1,4 At our center, the indications for esophageal replacement increased in the last five years relatively toward complicated esophageal atresia with less indicated caustic esophageal strictures.…”

Section: Discussionmentioning

confidence: 99%

“…1,4 At our center, the indications for esophageal replacement increased in the last five years relatively toward complicated esophageal atresia with less indicated caustic esophageal strictures. 1,4,5,11 Colon graft serves mainly as a passive conduit and empties by gravity not by its peristalsis. We achieved higher success rates of endoscopic dilatation with the use of Mitomycin C application and steroid injection in resistant caustic esophageal strictures, which subsequently reduced the number of cases who referred to esophageal replacement.…”

Section: Discussionmentioning

confidence: 99%

“…1,2 The choice of a conduit for esophageal replacement is controversial and reflects the surgeon's preferences and experience; however, most centers consider the left colon based on the left colic artery as the best graft for replacement either through retrosternal or transhiatal route. 1,3,4 Although retrosternal colon interposition has shown satisfactory results in long-term follow-up, it is not devoid of complications. 5 One of its significant long-term complications is the gastrocolic reflux, which is worsened by the young age-related inability to maintain upright position.…”

Section: Introductionmentioning

confidence: 99%

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Simple antireflux technique for the cologastric anastomosis: complementary step in retrosternal colon interposition procedure

et al. 2015

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Gastrocolic reflux is a troublesome symptom causing repeated aspiration or chocking in patients underwent retrosternal colon interposition. Various techniques were described to avoid such complication, however, they entail complicated technique that may jeopardize the viability of the graft or cause obstructing symptoms. A simple antireflux procedure is described here alleviating this problem. Over the last 7 years, 87 patients had gastrocolic antireflux procedure for cologastric anastomosis; 75 patients as a primary procedure (group 1) and 12 patients as a secondary procedure treating symptomatic reflux (group 2). The technique entails the creation of cologastric angle after finishing the cologastric anastomosis by applying three stitches between the colon and the stomach, thus tucking the colon to the stomach for 3-4 cm. Gastrocolic reflux was evaluated clinically and radiologically 3 months postoperatively. In group 1, three cases (4%) suffered symptomatic gastrocolic reflux, and seven cases (9.3%) had radiological asymptomatic mild reflux, while all patients in group 2 had complete alleviation of their symptoms with gastrogram showing no reflux. Gastrocolic reflux can be treated simply by creation of cologastric angle; however, controlled trial is needed to confirm its effectiveness in comparison to other described techniques.

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Section: Discussionmentioning

confidence: 99%

“…1,4 At our center, the indications for esophageal replacement increased in the last five years relatively toward complicated esophageal atresia with less indicated caustic esophageal strictures. 1,4,5,11 Colon graft serves mainly as a passive conduit and empties by gravity not by its peristalsis. We achieved higher success rates of endoscopic dilatation with the use of Mitomycin C application and steroid injection in resistant caustic esophageal strictures, which subsequently reduced the number of cases who referred to esophageal replacement.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Simple antireflux technique for the cologastric anastomosis: complementary step in retrosternal colon interposition procedure

et al. 2015

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“…In esophageal replacement, many technical options using the whole stomach, gastric tube, colon, or jejunum for reconstruction are available, all with distinct disadvantages and advantages. Pediatric operations have traditionally been performed through laparotomies or thoracolaparotomies, but laparoscopic surgery has recently been reported, with the various advantages of minimally invasive surgery [3,5].…”

Section: Discussionmentioning

confidence: 99%

“…Surgical intervention has been used in cases requiring repeated dilatation or showing failure of dilatation therapy [1,2]. Esophagectomy or esophageal replacement is often required as surgical intervention [3], but both are invasive, especially in children. A case of corrosive esophageal stricture just below the piriform fossa is reported.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic cicatrectomy for corrosive esophageal strictures just below the piriform fossa

Fukumoto

Miyano

Yamoto

et al. 2015

Journal of Pediatric Surgery Case Reports

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a b s t r a c tCorrosive esophageal strictures have been primarily treated using balloon dilatation or endoscopic bougienage. However, many patients experience recurrence after dilatation, and surgical interventions such as esophageal replacement have been attempted. We have performed endoscopic cicatrectomy using a laryngoscope for corrosive esophageal stricture just below the piriform fossa to minimize surgical invasiveness. In this case reported, repeated balloon dilatation therapy failed, and the combination of endoscopic cicatrectomy and intralesional triamcinolone acetonide injections proved most effective even though multiple cicatrectomies were required. If esophageal strictures are close to the piriform fossa, endoscopic cicatrectomy could be one useful surgical option.

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Colonic Substitution

Soyer

2021

Esophageal Preservation and Replacement in Children

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Laparoscopically assisted esophagectomy and colon interposition for esophageal replacement in children: preliminary results of a novel technique

Cited by 30 publications

References 40 publications

Simple antireflux technique for the cologastric anastomosis: complementary step in retrosternal colon interposition procedure

Simple antireflux technique for the cologastric anastomosis: complementary step in retrosternal colon interposition procedure

Endoscopic cicatrectomy for corrosive esophageal strictures just below the piriform fossa

Colonic Substitution

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