African Journal of Paediatric Surgery

ORIGINAL ARTICLE
Year
: 2020  |  Volume : 17  |  Issue : 3  |  Page : 45--48

Transhiatal isoperistaltic colon interposition without cervical oesophagostomy in long-gap oesophageal atresia


Cigdem Ulukaya Durakbasa, Murat Mutus, Gonca Gercel, Selma Fettahoglu, Hamit Okur 
 Department of Pediatric Surgery, Goztepe Training and Research Hospital, Istanbul Medeniyet University, Istanbul, Turkey

Correspondence Address:
Prof. Cigdem Ulukaya Durakbasa
Department of Pediatric Surgery, Goztepe Training and Research Hospital, Istanbul Medeniyet University, 34722, Istanbul
Turkey

Background: Oesophageal colonic interposition in oesophageal atresia (OA) patients is almost exclusively done as a staged operation with an initial oesophagostomy and gastrostomy followed by the definitive surgery months later. This study presents a series of patients in whom a cervical oesophagostomy was not performed before the substitution surgery. Patients and Methods: Records of EA patients were evaluated for those who underwent colon interposition without cervical oesophagostomy. Results: There were five patients: three with pure EA and two with proximal tracheo-oesophageal fistula. A delayed primary repair could not be performed because of intra-abdominally located distal pouch. The mean age at the time of definitive operation was 5.54 (±2.7) months and the mean weight was 6.24 (±1.3) kg. A right or a left colonic segment was used for interposition keeping the proximal anastomosis within the thorax. The post-operative results were quite satisfactory within a median follow-up period of 33.2 months. Conclusion: Avoiding cervical oesophagostomy and its inherent complications and drawbacks is possible in a subset of patients with long-gap EA who underwent colonic substitution surgery. This approach may be seen as an extension of the consensus that the native oesophagus should be preserved whenever possible, because it uses the native oesophagus in its entirety.


How to cite this article:
Durakbasa CU, Mutus M, Gercel G, Fettahoglu S, Okur H. Transhiatal isoperistaltic colon interposition without cervical oesophagostomy in long-gap oesophageal atresia.Afr J Paediatr Surg 2020;17:45-48


How to cite this URL:
Durakbasa CU, Mutus M, Gercel G, Fettahoglu S, Okur H. Transhiatal isoperistaltic colon interposition without cervical oesophagostomy in long-gap oesophageal atresia. Afr J Paediatr Surg [serial online] 2020 [cited 2021 Jan 19 ];17:45-48
Available from: https://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2020;volume=17;issue=3;spage=45;epage=48;aulast=Durakbasa;type=0