Which is better for esophageal substitution in children, esophagocoloplasty or gastric transposition? A 27-year experience of a single center

Surgical outcomes of esophageal atresia without fistula for 24 years at a single institution

“…In our center, the colonic conduit has not proven successful although a number of series have reported good outcomes [14,24]. Our patients had a very high incidence of proximal anastomotic structure and leakage, with at least one patient also enduring severe symptoms from redundancy [25,26].…”

“…Interestingly, one of the patients transferred to our center had also experience total loss of their colonic conduit from ischemia [27]. Although in our series, colonic conduits overall had a higher complication rate than gastric transposition, this form of replacement still has advocates [14,24,26,28]. It may be advantageous when there appears no cervical esophagus with the proximal anastomosis to the pharynx.…”

“…Despite the advances made in surgical and neonatal care, there remains considerable debate over the optimal approach when the patient has a "long gap" [1,[9][10][11][12][13]. Variation in or absence of a definition of "long gap," evolution in surgical techniques over time, and reporting bias all contribute to make evaluation of the literature a convoluted process [11,12,14,15].…”

Collis–Nissen plastikos metodas esant labai ilgam tarpui tarp stemplės galų

“…Literatūroje yra aprašyta daug stemplės pailginimo būdų prieš atliekant pirminę vėlyvąją stemplės plastiką, taip pat stemplę pakeičiančių operacijų, kai stemplės pailginti visgi nepavyksta. Tačiau vieningai sutariama, jog sava stemplė yra geresnė už geriausią dirbtinę [12][13][14][15]. Mes pateiksime kūdikių gydymo naudojant modifikuotą Collis-Nissen stemplės plastikos metodą rezultatus esant labai ilgam tarpui tarp jos galų.…”

“…Visiems trims pacientams buvo sėkmingai išplėsta stemplė. Literatūroje taip pat nurodomas tokių procedūrų reikalingumas [5,15].…”