Functional, Nutritional, and Developmental Asessment of Gastric Transposition and Colonic Interposition- Long-Term Follow-Up Outcome Analysis
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Read the article on jpedsurg.org ↗Article · May 2022 · 1 min read
In brief
In brief
Cross-sectional study comparing long-term outcomes of gastric transposition versus colonic interposition for esophageal replacement in 26 children (median age 13 months, mean follow-up 9.7 years). Both techniques showed comparable nutritional, developmental, and functional results despite higher complication rates in the colonic interposition group.
Written by the GCMD Library team from the article.
Purpose
The choice of Esophageal replacement (ER) depends on surgeons' preference and patients' anatomical condition. A cross-sectional study was done to compare the long-term outcomes of two methods of ER, Gastric transposition (GT) and Colonic interposition (CI).
Methods
Children who had undergone ER from January 1997 to December 2017 with a minimum of two-year post-ER follow-up were evaluated by anthropometry, hepatobiliary scintigraphy, gastroesophageal reflux study, gastric emptying test, pulmonary function test and blood tests.
Results
Twenty-six (Male:female=17:9) children were recruited. The median age at ER was 13 months (interquartile range 9-40 months) and mean follow-up post-ER was 116.7±76.4 months (range 24-247 months). GT:CI was done in 15(57.7%):11(42.3%) cases. A greater number of abnormal oral contrast studies (p=0.02) and re-operations (p=0.05) were documented as baseline characteristics with CI group. The presence of gastroesophageal reflux 9/23(39.1%), duodenogastric reflux 6/24(25%), delayed gastric emptying 6/25(24%), abnormal pulmonary function test 14/22(63.6%) were documented during the study period. However, there was no significant(p>0.05) difference in nutritional, developmental and functional outcomes of both operative methods of ER in the study.
Conclusion
Assessment of nutritional, developmental and functional parameters in children after ER reveals good long-term results. There was no significant difference in CI and GT.