{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T00:50:05Z","timestamp":1791593405776,"version":"4.3.4"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Pediatr Surg"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:p>\n            Aim\u2003No consensus exists about the optimal surgical technique for esophageal replacement. This study reports the surgical outcomes for the gastric pull-up and the colonic interposition procedures.<\/jats:p><jats:p>\n            Materials and Methods\u2003A retrospective review of children undergoing esophageal replacement surgery between January 2001 and June 2015 across four different pediatric surgery centers was conducted. Data collected included indications, epidemiology, surgical technique, complications, and outcomes. Patients were divided into group A, those that had a gastric pull-up procedure and group B, those that had a colonic interposition procedure.<\/jats:p><jats:p>\n            Results\u2003In total, 50 patients were included; 29 in group A and 21 in group B. Indications included esophageal atresia, caustic ingestion, and infective esophageal stricture. The median age at the time of surgery was 13 months. The mean length of follow-up was 5.2 years. Three patients died giving a mortality rate of 6%; 2 in group A and 1 in group B.<\/jats:p><jats:p>In both groups, early postoperative complications included infective complications, such as wound infections, sepsis, and pneumonia (11), anastomotic leak (7), and respiratory complications (7). Late complications included adhesive bowel obstruction (2), anastomotic strictures (4), redundancy (1), and jejunostomy problems (1). Septic complications and anastomotic strictures occurred more frequently in group B. Further surgery was needed in eight patients; this was significantly higher in group B. Full oral feeding was achieved within 6 months in 91.5%.<\/jats:p><jats:p>\n            Conclusion\u2003The gastric pull-up and colonic interposition have comparable mortality and outcomes. The colonic interposition was associated with a higher rate of early septic complications, anastomotic strictures, and need for further surgery.<\/jats:p>","DOI":"10.1055\/s-0037-1607041","type":"journal-article","created":{"date-parts":[[2017,9,25]],"date-time":"2017-09-25T22:40:54Z","timestamp":1506379254000},"page":"022-029","source":"Crossref","is-referenced-by-count":25,"title":["Outcomes of Esophageal Replacement: Gastric Pull-Up and Colonic Interposition Procedures"],"prefix":"10.1055","volume":"28","author":[{"given":"Keren","family":"Sloan","sequence":"first","affiliation":[{"name":"Department of Paediatric Surgery, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Morandi","sequence":"first","affiliation":[{"name":"Department of Paediatric Surgery, Red Cross War Memorial Children's Hospital and Institute of Child Health, Cape Town, Western Cape Province, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhanumathi","family":"Lakshminarayanan","sequence":"first","affiliation":[{"name":"Department of Paediatric Surgery, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon","family":"Cox","sequence":"first","affiliation":[{"name":"Department of Paediatric Surgery, Red Cross War Memorial Children's Hospital and Institute of Child Health, Cape Town, Western Cape Province, South Africa"},{"name":"Department of Paediatric Surgery, University of Cape Town, Cape Town, Western Cape, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alastair","family":"Millar","sequence":"first","affiliation":[{"name":"Department of Paediatric Surgery, Red Cross War Memorial Children's Hospital and Institute of Child Health, Cape Town, Western Cape Province, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alp","family":"Numanoglu","sequence":"first","affiliation":[{"name":"Department of Paediatric Surgery, Red Cross War Memorial Children's Hospital and Institute of Child Health, Cape Town, Western Cape Province, South Africa"},{"name":"Department of Paediatric Surgery, University of Cape Town, Cape Town, Western Cape, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kokila","family":"Lakhoo","sequence":"first","affiliation":[{"name":"Department of Paediatric Surgery, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Bradshaw","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom"},{"name":"Department of Paediatric Surgery, Red Cross War Memorial Children's Hospital and Institute of Child Health, Cape Town, Western Cape Province, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2017,9,25]]},"container-title":["European Journal of Pediatric Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0037-1607041.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,1,19]],"date-time":"2018-01-19T23:31:11Z","timestamp":1516404671000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0037-1607041"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,9,25]]},"references-count":0,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2018,1,19]]},"published-print":{"date-parts":[[2018,2]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0037-1607041","relation":{},"ISSN":["0939-7248","1439-359X"],"issn-type":[{"value":"0939-7248","type":"print"},{"value":"1439-359X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,9,25]]}}}