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Esophageal replacement
Affiliation:1. David Grant Medical Center, Travis Air Force Base, California;2. Division of Trauma, Acute Care Surgery, and Surgical Critical Care, UC Davis Medical Center, Sacramento, California;3. Department of Surgery, UC Davis Medical Center, Sacramento, California;4. Division of Pediatric General, Thoracic, and Fetal Surgery, UC Davis Medical Center, Sacramento, California;5. Shriners Hospitals for Children—Northern California, 2425 Stockton Blvd, Sacramento, California 95817;1. Department of Surgery, University of Calgary, Calgary, Alberta, Canada;2. Department of Community Health Sciences, Alberta Children׳s Hospital, University of Calgary, 2888 Shaganappi Trail NW, Calgary, Alberta, Canada T3B 6A8
Abstract:This article focuses on esophageal replacement as a surgical option for pediatric patients with end-stage esophageal disease. While it is obvious that the patient׳s own esophagus is the best esophagus, persisting with attempts to retain a native esophagus with no function and at all costs are futile and usually detrimental to the overall well-being of the child. In such cases, the esophagus should be abandoned, and the appropriate esophageal replacement is chosen for definitive reconstruction. We review the various types of conduits used for esophageal replacement and discuss the unique advantages and disadvantages that are relevant for clinical decision-making.
Keywords:Esophagus  Replacement  Gastric transposition  Colon interposition  Esophageal atresia
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