Journal of Medical Insight 2373-6003 JoMI Boston, Massachusetts 290.5 10.24296/jomi/290.5 Research article Colon Interposition to Replace an Absent Esophagus is the Procedure of Choice in Low-Income Countries 2024 2024 12 2017 Journal of Medical Insight 2017 You may create an account, or sign in to gain temporary access for evaluation purposes. To maintain access: please let your librarian know you would like a subscription or send us an email at subscribe@jomi.com and we will forward your feedback to your librarian. Content is available at https://jomi.com/article/290.5/colon-interposition-to-replace-an-absent-esophagus-is-the-procedure-of-choice-in-low-income-countries

This video demonstrates a colon interposition in a 6-year-old boy with trisomy 21 and long-gap esophageal atresia (EA). The procedure uses a segment of the left colon, selected for its blood supply, to bridge the gap between proximal esophagus and stomach. The colon is mobilized, passed retrosternally into the neck, and anastomosed end-to-side to the cervical esophagus and side-to-side to the stomach. A new gastrostomy is placed. The case highlights a practical, low-resource approach for esophageal replacement in pediatric patients with long-gap EA.

 General Surgery pediatric surgery colon surgery esophageal atresia colonic interposition global surgery world surgical foundation Open ResourceLimited Rare Indication Congenital Resource-Limited Settings Advanced Pediatric Elective GI Tract Anastomosis Adhesiolysis Harmonic Scalpel Male Ostomy Creation