Gastric transposition is an appropriate alternative for oesophageal replacement in infants and children with congenital or acquired abnormalities of the oesophagus.
It re-establishes effective gastrointestinal continuity with few complications, say specialists at C.S. Mott Children’s Hospital, University of Michigan Medical School, Ann Arbor, Michigan, United States. Most children achieve oral feeding and appropriate weight gain, they report.
The specialists noted that because oesophageal replacement in children was almost always done for benign disease, it required a conduit that would last longer than 70 years. The most commonly used replacement organ, the colon, usually led to major complications and conduit loss. In 1985, the authors therefore switched from colon to gastric transpositions.
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