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Esophageal replacement in children; Retrosternal colon transplant

For long gap esophageal atresia and caustic stricture

Prof Sameh Shehata

see in second post[/center]

https://www.youtube.com/watch?v=i31oVhgQc8E

Why you used colonic interposition? Why not transmediastinal rout? Do you perform any maneuver for gastrocolonic reflux prevention? Do you perform pyloroplasty and\or gastrostomy? Thanks you for post.

P.S. I prefer same procedure - Isoperistaltic retrosternal left colonic transplat + Pyloroplasty + gastrostomy.

Edited December 21, 20205 yr by Gunduz Aghayev

Thank you for your interest. I don't do pyloroplasty. I put cologastric anastomosis on post gastric wall near greater curvature to minimize reflux. Long term I gave no problems with reflux. Retrosternal colon gives me good results on the long term.