الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
The decision to replace the esophagus of a child is one of the difficult decisions a pediatric surgeon must make. The main requirements for esophageal replacement in children are reported to be intractable corrosive strictures and long-gap esophageal atresia (EA). Although most surgeons attempt to preserve the native esophagus, there is sometimes no alternative except esophageal replacement.
There is no esophageal replacement technique that fully replicates the features of the normal esophagus. The ideal esophageal conduit should allow normal feeding, doesn’t cause respiratory compromise, avoid tortuosity or redundancy, minimal gastroesophageal reflux, doesn’t increase malignant risk, should function normally for the life-time of the individual, should be technically adaptable for small children, and replacement results should be reproducible by different surgeons.
It is important for the pediatric surgeon to be aware of the various options available for replacement
The aim of this study was to compare the surgical and functional outcomes of colon interposition and gastric tube as an esophageal replacement in children suffering from post-corrosive stricture, long gap esophageal atresia or failed primary repair.
This prospective study was conducted in the period from 1/7/2018 to 30/6/2020 on patients treated at ElChatby Children’s Hospital, Alexandria University and Abo-ElRish Children’s Hospital, Cairo University.
The study included 33 patients who were candidate for esophageal replacement. Colon interposition was done in 17 patients while 16 patients under went gastric tube esophagoplasty.