Evaluation of colonic replacement of the esophagus in children

Replacement of the thoracic esophagus with an interposed segment of colon was done in 29 children with esophageal atresia, stricture, or varices. There were no deaths. One failed because of vascular insufficiency of the transplant. The incidence of early postoperative complications was high. Long-term clinical and radiological evaluations were generally quite satisfactory in terms of normal growth, absence of pulmonary and intestinal symptoms, and rapid emptying of the transplant.