Baggaley A, Reid T, Davidson J, de Coppi P, Botha A
Guy's and St Thomas' NHS Foundation Trust , UK.
Great Ormond Street Hospital for Children NHS Foundation Trust , UK.
Ann R Coll Surg Engl. 2018 Sep;100(7):e185-e187. doi: 10.1308/rcsann.2018.0120. Epub 2018 Aug 16.
Long gap oesophageal atresia presents a surgical challenge as there is insufficient length of the oesophagus to restore continuity. Oesophageal replacement is generally achieved using a conduit, taken from the stomach, jejunum or colon. Preferences of approach vary between and within surgical centres. Specific to colonic interposition, the continued growth and dilation of the interposed segment may lead to redundancy. Revision surgery in these cases is challenging and has been sparsely described in adult patients. We present two patients who had colonic interposition for long gap oesophageal atresia in infancy and who then underwent successful revision surgery in their fifth decade.
长段食管闭锁带来了手术挑战，因为食管长度不足以恢复连续性。食管替代通常使用取自胃、空肠或结肠的管道来实现。手术方法的偏好因手术中心而异，且在各中心内部也有所不同。对于结肠间置术而言，所置入段的持续生长和扩张可能导致冗余。这些病例的翻修手术具有挑战性，且在成年患者中的描述很少。我们报告了两名患者，他们在婴儿期因长段食管闭锁接受了结肠间置术，并在五十多岁时成功接受了翻修手术。
