Biomaterial Database

Colonic interposition. 1986

N V Freeman

Intrathoracic colonic interposition in children with esophageal atresia has been used for the past 36 years. The preferred routes have been via the left pleural cavity and retrosternally. Over the past 13 years the author has developed a method using the posterior mediastinum (normal esophageal route) for the colonic interposition. An analysis of 19 personal cases using this method is presented. A further nine cases using either the retrosternal or the Waterston routes and six cases using a modified neonatal operation are included. The evolution of the method currently used by the author is traced. Major problems remain, and further modifications relating to the optimal timing for the colonic interposition, length of colon graft, and sitting of the lower cologastric anastomosis continue to be tried and are discussed. The function of the graft has been studied with ten patients using 99Tc-labeled milk. The results of this study (unpublished) are presented. Gravity is shown to be the major factor influencing the onward passage of milk and food between the colon and stomach.

UI	MeSH Term	Description	Entries
D007223	Infant	A child between 1 and 23 months of age.	Infants
D007231	Infant, Newborn	An infant during the first 28 days after birth.	Neonate,Newborns,Infants, Newborn,Neonates,Newborn,Newborn Infant,Newborn Infants
D003106	Colon	The segment of LARGE INTESTINE between the CECUM and the RECTUM. It includes the ASCENDING COLON; the TRANSVERSE COLON; the DESCENDING COLON; and the SIGMOID COLON.	Appendix Epiploica,Taenia Coli,Omental Appendices,Omental Appendix,Appendices, Omental,Appendix, Omental
D003680	Deglutition Disorders	Difficulty in SWALLOWING which may result from neuromuscular disorder or mechanical obstruction. Dysphagia is classified into two distinct types: oropharyngeal dysphagia due to malfunction of the PHARYNX and UPPER ESOPHAGEAL SPHINCTER; and esophageal dysphagia due to malfunction of the ESOPHAGUS.	Dysphagia,Swallowing Disorders,Esophageal Dysphagia,Oropharyngeal Dysphagia,Deglutition Disorder,Disorders, Deglutition,Dysphagia, Esophageal,Dysphagia, Oropharyngeal,Swallowing Disorder
D004933	Esophageal Atresia	Congenital abnormality characterized by the lack of full development of the ESOPHAGUS that commonly occurs with TRACHEOESOPHAGEAL FISTULA. Symptoms include excessive SALIVATION; GAGGING; CYANOSIS; and DYSPNEA.	Atresia, Esophageal,Atresias, Esophageal,Esophageal Atresias
D004944	Esophagoplasty	A plastic operation on the esophagus. (Dorland, 28th ed)	Esophagoplasties
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000367	Age Factors	Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.	Age Reporting,Age Factor,Factor, Age,Factors, Age