Abstract
With few exceptions, correction of oesophageal atresia by oesophago-oesophageal anastomosis produces a long-term result superior to any form of oesophageal replacement. Even in the presence of a ‘long gap’ satisfactory anastomosis of the oesophageal ends can usually be achieved either directly, or with the assistance of one of the various innovative methods described in Chapter 10. However, there is a small group of patients in whom primary anastomosis cannot be achieved or in whom the oesophagus has to be abandoned because of failure of the oesophageal anastomotic technique (Ahmed and Spitz, 1986): in these, oesophageal replacement is needed. Although the size of this group has diminished considerably in recent years the surgeon who accepts responsibility for the care of the baby with oesophageal atresia must still be familiar with at least one of the techniques available.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Ahmed, D. A. and Spitz, L. (1986) The outcome of colonic replacement of the esophagus in children. Prog. Pediatr. Surg., 19, 37–54.
Anderson, K. D. (1984) Oesophageal substitution. Aust. N. Z. J. Surg., 54, 447–9.
Anderson, K. D. and Randolph, J. G. (1973) The gastric tube for esophageal replacement in children. J. Thor. Cardiovasc. Surg., 66, 333–42.
Anderson, K. D. and Randolph, J. G. (1978) Gastric tube interposition: a satisfactory alternative to the colon for esophageal replacement in children. Ann. Thorac. Surg., 25, 521–5.
Anderson, K. D., Randolph, J. G. and Lilly, J. R. (1975) Peptic ulcer in children with gastric tube interposition. J. Pediatr. Surg., 10, 701–7.
Beasley, S. W. and Auldist, A. W. (1988) Current management and distal tracheo-oesophageal fistula. Presented at the International Congress of Paediatric Surgery, Melbourne, November 1988.
Buras, R. R., Jacir, N. N. and Anderson, K. D. (1986) An antireflux procedure for use with reversed gastric tube. J. Pediatr. Surg., 21, 545–7.
Burrington, J. D. and Stephens, C. A. (1968) Esophageal reconstruction with a gastric tube in infants and children. J. Pediatr. Surg., 3, 246–52.
Cohen, D. G., Middleton, A. W. and Fletcher, J. (1974) Gastric tube esophagoplasty. J. Pediatr. Surg., 9, 451–60.
Connolly, B. and Guiney, E. J. (1987) Trends in tracheoesophageal fistula. Gynec. and Obstet., 164, 308–12.
de Lorimier, A. A. and Harrison, M. R. (1986) Esophageal replacement. In Pediatric Esophageal Surgery (eds K. W. Ashcraft and T. M. Holder) pp. 102–36.
Foker, J. E., Ring, W. S. and Varco, R. L. (1982) Technique of jejunal interposition for esophageal replacement. J. Thorac. Cardiovasc. Surg., 83, 928–33.
Gavriliu, D. (1975) Aspects of esophageal surgery, in Current Problems in Surgery. Year Book Medical Publishers, Chicago, pp. 36–64.
Haight, C. (1969) Congenital esophageal atresia, in Pediatric Surgery 1 (2nd edn.) (eds W. T. Mustard, M. M. Ravitch, W. H. Snyder, K. J. Welch and C. D. Benson). Year Book Medical Publishers Inc., Chicago, pp. 358–9.
Heimlich, J. H. and Winfield, J. M. (1955) The use of a gastric tube to replace or bypass the esophagus. Surgery, 37, 549–51.
Heimlich, H. J. (1959) Oesophageal replacement with a reversed gastric tube. Dis. Chest., 36, 478–93.
Heimlich, H. J. (1966) Elective replacement of the oesophagus, Br. J. Surg., 53, 913–16.
Heimlich, H. J. (1972) Esophagoplasty with reversed gastric tube. Am. J. Surg., 123, 80–92.
Hendren, W. H. and Hendren, W. G. (1985) Colon interposition for esophagus in children. J. Pediatr. Surg., 20, 829–39.
Howard, R. N. (1959) Oesophageal atresia; construction of a new oesophagus. Aust. N. Z. J. Surg., 29, 282–6.
Jones, B. M. and Gustavson, E. H. (1983) Free jejunal transfer for reconstruction of the cervical esophagus in children: a report of two cases. Br. J. Plastic Surg., 36, 162–7.
Ladd, W. E. (1944) The surgical treatment of esophageal atresia and tracheoesophageal fistulas. N. Engl. J. Med., 230, 625–37.
Lindahl, H., Louhimo, I. and Virkola, K. (1983) Colon interposition or gastric tube? Follow up study of colon-esophagus and gastric tube esophagus patients. J. Pediatr. Surg., 18, 58–63.
Louhimo, I., Pasila, M. and Visakorpi, J. K. (1969) Late gastrointestinal complications in patients with colonic replacement of the esophagus. J. Pediatr. Surg., 4, 663–73.
Martin, L. W. (1972) The use of colon for oesophageal replacement in children. Aust. N. Z. J. Surg., 42, 160–3.
Martin, L. W. and Flege, J. B. (1964) Use of colon as a substitute for the esophagus in children. Am. J. Surg., 108, 69–74.
May, I. A. and Samson, P. C. (1969) Esophageal reconstruction and replacement. Ann. Thorac. Surg., 7, 249–77.
Oesch, I. and Bettex, M. (1987) Small bowel esophagoplasty without vascular microanastomosis: a preliminary report. J. Pediatr. Surg., 22, 877–9.
Randolph, J. C., Newman, K. D. and Anderson, K. D. (1989) Current results in repair of esophageal atresia with tracheo-esophageal fistula using physiologic status as a guide to therapy. Ann. Surg., 209, 526–31.
Ring, W. S., Varco, R. L. and L’Heureaux, P. R. (1982) Esophageal replacement with jejunum in children: an 18 to 33 year follow up. J. Thorac. Cardiovasc. Surg., 83, 918–27.
Sherman, C. D. and Waterston, D. (1957) Oesophageal reconstruction in children using intrathoracic colon. Arch. Dis. Child., 32, 11–16.
Simms, M. H., Brearley, S., Watson, D. and Roberts, K. D. (1989) Reconstruction of the esophagus using a free jejunal graft in complicated atresia. Pediatr. Surg. Int., 4, 159–61.
Spitz, L. (1984) Gastric transposition via the mediastinal route for infants with long gap esophageal atresia. J. Pediatr. Surg., 19, 149–54.
Spitz, L., Kiely, E. and Sparnon, A. T. (1987) Gastric transposition for esophageal replacement in children. Ann. Surg., 206, 69–72.
Spitz, L. (1988) Gastric replacement of the oesophagus, in Rob and Smith’s Operative Surgery, Paediatric Surgery (4th edn.), (eds L. V. Spitz and H. H. Nixon). Butterworths, London, pp. 142–5.
Stanley-Brown, E. G. (1974) Massive haemorrhage after colon interposition: early and late. J. Pediatr. Surg., 9, 235–7.
Sweet, R. H. (1948) A new method of restoring continuity of the alimentary canal in case of congenital atresia of the esophagus with tracheo-esophageal fistula not treated by immediate primary anastomosis. Ann. Surg., 127, 757–68.
Valente, A., Brereton, R. J. and Mackersie, A. (1987) Esophageal replacement with whole stomach in infant and children. J. Pediatr. Surg., 2, 913–17.
Waterston, D. J., Bonham-Carter, R. E. and Aberdeen, E. (1962) Oesophageal atresia; tracheo-oesophageal fistula. A study of survival of 218 infants. Lancet, 2, 819–22.
Waterston, D. J. (1964) Colonie replacement of esophagus (intrathoracic). Surg. Clin. North Am., 44, 1441–7.
Waterston, D. J. (1979) Colon transplant in long term follow-up in congenital anomalies. Pediatric Surgical Symposium, the Children’s Hospital of Pittsburgh, p. 7.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1991 Springer Science+Business Media Dordrecht
About this chapter
Cite this chapter
Myers, N.A., Beasley, S.W., Auldist, A.W. (1991). Oesophageal replacement. In: Beasley, S.W., Myers, N.A., Auldist, A.W. (eds) Oesophageal Atresia. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-3079-8_12
Download citation
DOI: https://doi.org/10.1007/978-1-4899-3079-8_12
Publisher Name: Springer, Boston, MA
Print ISBN: 978-0-412-34820-4
Online ISBN: 978-1-4899-3079-8
eBook Packages: Springer Book Archive