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  • 1. Introduction
  • 2. Abdominal Incision and Access to the Abdominal Cavity
  • 3. Kocherization of the Duodenum
  • 4. Colon Mobilization Including the Splenic Flexure
  • 5. Release of Attachments Around the Ligament of Treitz
  • 6. Determination of Blood Supply and Length of Colon
  • 7. Construction of Colonic Interposition Graft
  • 8. Stomach Mobilization
  • 9. Excision and Repair of Gastrostomy Site
  • 10. Transposition of Colon Posterior to Stomach
  • 11. Cervical Incision and Mobilization of Esophagostomy
  • 12. Formation of Tunnel
  • 13. Passing of Colon Through Tunnel
  • 14. Cervical Esophagocolonic Anastomosis
  • 15. Distal Cologastric Anastomosis
  • 16. Gastrostomy Creation
  • 17. Reconstruction of Colonic Continuity via a Right to Distal Left Colocolonic Anstomosis
  • 18. Closure of Mesentery
  • 19. Gastrostomy Tube Placement
  • 20. Abdominal Closure
  • 21. Cervical Incision Closure
  • 22. Skin Closure
  • 23. Post-op Remarks
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Colonic Interposition for Esophageal Atresia

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Yoko Young Sang, MD1; Caroll Alvarado Lemus, MD2; Domingo Alvear, MD3

1Louisiana State University Shreveport
2Mario Catarino Rivas Hospital, Honduras
3World Surgical Foundation

General SurgeryPediatric SurgeryGlobal Surgery
Main TextProcedure OutlineTranscript

Main Text

The patient in this case is a 6-year-old boy who was born with Down syndrome and esophageal atresia. In this video article, Dr. Alvear performs a colonic interposition to replace the absent esophagus with part of the patient's colon. This was performed during a global surgical mission in Honduras with the World Surgical Foundation.

Main text coming soon.