Hartin Charles W, Escobar Mauricio A, Yamout Sani Z, Caty Michael G
Division of Pediatric Surgery, Department of Surgery, Women and Children's Hospital of Buffalo, State University of New York at Buffalo, Buffalo, NY 14222, USA.
J Pediatr Surg. 2008 Dec;43(12):2311-4. doi: 10.1016/j.jpedsurg.2008.08.030.
Long gap esophageal atresia continues to be a therapeutic challenge for the pediatric surgeon. Although numerous methods have been described to achieve esophageal continuity in infants with esophageal atresia, esophageal replacement is often required if these methods fail. A common method of esophageal replacement in children is the use of a colon graft. Complications include cervical anastomotic leak, stricture, redundant intrathoracic colon with stasis, and cologastric reflux. We present an 11-year-old male with swallowing difficulties because of redundancy of the colon after undergoing colon interposition for long gap atresia. The patient underwent a successful transhiatal mobilization of the intrathoracic colon and stapled tapering coloplasty. The patient currently remains symptom-free.
长段食管闭锁仍然是小儿外科医生面临的治疗挑战。尽管已经描述了许多方法来实现食管闭锁婴儿的食管连续性，但如果这些方法失败，通常需要进行食管替代。儿童食管替代的一种常见方法是使用结肠移植。并发症包括颈部吻合口漏、狭窄、胸腔内结肠冗长伴淤滞以及结肠胃反流。我们报告一名11岁男性，因长段食管闭锁行结肠间置术后结肠冗长而出现吞咽困难。该患者成功进行了胸腔内结肠经裂孔松解术和吻合器减容结肠成形术。患者目前无症状。
