{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T00:00:11Z","timestamp":1770768011130,"version":"3.50.0"},"reference-count":48,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,11,22]],"date-time":"2023-11-22T00:00:00Z","timestamp":1700611200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Esophageal replacement surgery in children is sometimes necessary for long-gap esophageal atresia. Ileocolic esophagoplasty in the retrosternal space can serve as a good alternative technique in case of hostile posterior mediastinum. We present two cases of successful ileocolic transposition performed at 6 months of age.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Esophageal replacement was performed through a midline laparotomy incision associated with a left cervical approach. The ileocolic transplant was pediculized on the right superior colic artery after ligating the right colic and ileocolic vessels. A retrosternal tunnel was created, and the ileocolic transplant pulled through it to reach the cervical region. Proximally, esophageal-ileal anastomosis and, distally, colonic\u2013gastric anastomosis were performed. Ileocolic continuity was repaired.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were no early postoperative complications. In both cases, the patients presented oral feeding difficulties during the first 6 postoperative months. Thereafter, full oral feeding was achieved, and both patients were clinically asymptomatic during the following 18 and 20 years, respectively, with satisfactory oral radiological assessments, showing no redundancy or inappropriate growth of the graft and no anastomotic stricture. Currently, these patients do not complain of dysphagia, pathological reflux, or respiratory symptoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>When native esophagus preservation in long-gap esophageal atresia is estimated unfeasible, ileocolic transposition in the retrosternal space might be considered a good and safe option, particularly in those difficult cases after multiple previous surgical attempts and mediastinitis. This technique is putatively associated with a beneficial anti-reflux effect, thanks to the presence of the ileocecal valve, in preventing cervical peptic esophagitis. Long-term follow-up confirms that the transposed colon in the retrosternal space did not suffer any abnormal modification in size and growth.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fped.2023.1300802","type":"journal-article","created":{"date-parts":[[2023,11,23]],"date-time":"2023-11-23T15:07:38Z","timestamp":1700752058000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Long-term follow-up after retrosternal ileocolic esophagoplasty in two cases of long-gap esophageal atresia: why it is still a valid option as a rescue strategy"],"prefix":"10.3389","volume":"11","author":[{"given":"Matthieu","family":"L\u00e9onard","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yannick","family":"Deswysen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabelle","family":"Scheers","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maximilien","family":"Thoma","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"de Magn\u00e9e","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xavier","family":"Stephenne","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dana","family":"Dumitriu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renaud","family":"Menten","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raymond","family":"Reding","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberto","family":"Tambucci","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2023,11,22]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"63","DOI":"10.3389\/fped.2017.00063","article-title":"Position paper of INoEA working group on long-gap esophageal atresia: for better care","volume":"5","author":"Van der Zee","year":"2017","journal-title":"Front Pediatr"},{"key":"B2","doi-asserted-by":"publisher","first-page":"214","DOI":"10.1055\/s-0040-1713932","article-title":"ERNICA consensus conference on the management of patients with long-gap esophageal atresia: perioperative, surgical, and long-term management","volume":"31","author":"Dingemann","year":"2021","journal-title":"Eur J Pediatr Surg"},{"key":"B3","first-page":"277","article-title":"Oesophageal atresia: the epitome of modern surgery","volume":"54","author":"Myers","year":"1974","journal-title":"Ann R Coll Surg Engl"},{"key":"B4","doi-asserted-by":"publisher","first-page":"420","DOI":"10.1055\/s-0032-1331459","article-title":"Long-gap esophageal atresia: a meta-analysis of jejunal interposition, colon interposition, and gastric pull-up","volume":"22","author":"Gallo","year":"2012","journal-title":"Eur J Pediatr Surg"},{"key":"B5","doi-asserted-by":"publisher","first-page":"30","DOI":"10.1053\/j.sempedsurg.2008.10.006","article-title":"Gastric transposition in children","volume":"18","author":"Spitz","year":"2009","journal-title":"Semin Pediatr Surg"},{"key":"B6","doi-asserted-by":"publisher","first-page":"374","DOI":"10.1016\/j.jpedsurg.2020.04.017","article-title":"Gastric pull-up by the retrosternal route for esophageal replacement: feasibility in a limited-resource scenario","volume":"56","author":"Acharya","year":"2021","journal-title":"J Pediatr Surg"},{"key":"B7","doi-asserted-by":"publisher","first-page":"527","DOI":"10.1007\/s00383-016-4048-1","article-title":"Surgical techniques for esophageal replacement in children","volume":"33","author":"Sharma","year":"2017","journal-title":"Pediatr Surg Int"},{"key":"B8","first-page":"132","article-title":"Esophageal reconstruction using colon and terminal ileum","volume":"36","author":"Javid","year":"1954","journal-title":"Surgery"},{"key":"B9","doi-asserted-by":"publisher","first-page":"1067","DOI":"10.1016\/S0022-5223(94)70382-5","article-title":"Retrosternal ileocolic esophageal replacement in children revisited. Antireflux role of the ileocecal valve","volume":"107","author":"Touloukian","year":"1994","journal-title":"J Thorac Cardiovasc Surg"},{"key":"B10","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1053\/j.sempedsurg.2008.10.005","article-title":"Long-gap esophageal atresia treated by growth induction: the biological potential and early follow-up results","volume":"18","author":"Foker","year":"2009","journal-title":"Semin Pediatr Surg"},{"key":"B11","doi-asserted-by":"publisher","first-page":"605143","DOI":"10.3389\/fped.2020.605143","article-title":"Esophageal trachea, a unique foregut malformation requiring multistage surgical reconstruction: case report","volume":"8","author":"Tambucci","year":"2020","journal-title":"Front Pediatr"},{"key":"B12","doi-asserted-by":"publisher","first-page":"533","DOI":"10.1097\/00000658-199710000-00014","article-title":"Development of a true primary repair for the full spectrum of esophageal atresia","volume":"226","author":"Foker","year":"1997","journal-title":"Ann Surg"},{"key":"B13","doi-asserted-by":"publisher","first-page":"566","DOI":"10.1016\/0022-3468(94)90094-9","article-title":"Multistaged extrathoracic esophageal elongation for long gap esophageal atresia","volume":"29","author":"Kimura","year":"1994","journal-title":"J Pediatr Surg"},{"key":"B14","article-title":"Thoracoscopic multistage repair of long\u2014gap esophageal atresia using internal traction sutures\u2014What time between stages is optimal?","volume-title":"Front Pediatr Conference Abstract: 4th International Conference on Oesophageal Atresia","author":"Patkowski","year":"2017"},{"key":"B15","doi-asserted-by":"publisher","first-page":"3324","DOI":"10.1007\/s00464-015-4091-3","article-title":"Thoracoscopic traction technique in long gap esophageal atresia: entering a new era","volume":"29","author":"van der Zee","year":"2015","journal-title":"Surg Endosc"},{"key":"B16","doi-asserted-by":"publisher","first-page":"1113","DOI":"10.3390\/children9081113","article-title":"Esophageal magnetic compression anastomosis in esophageal atresia repair: a PRISMA-compliant systematic review and comparison with a novel approach","volume":"9","author":"Holler","year":"2022","journal-title":"Children (Basel)"},{"key":"B17","doi-asserted-by":"publisher","first-page":"332","DOI":"10.1007\/BF00177099","article-title":"Early experience with oesophageal flap oesophagoplasty for repair of oesophageal atresia","volume":"5","author":"Davenport","year":"1990","journal-title":"Pediatr Surg Int"},{"key":"B18","doi-asserted-by":"publisher","first-page":"575","DOI":"10.1007\/s003830100579","article-title":"A new technique of anastomosis to avoid stricture formation in oesophageal atresia","volume":"17","author":"Singh","year":"2001","journal-title":"Pediatr Surg Int"},{"key":"B19","first-page":"7","article-title":"End-to-end anastomosis in esophageal atresia. A clinical and experimental study","volume":"2","author":"Livaditis","year":"1969","journal-title":"Scand J Thorac Cardiovasc Surg"},{"key":"B20","doi-asserted-by":"publisher","first-page":"206","DOI":"10.3109\/14017437209134801","article-title":"Esophageal end-to-end anastomosis. Reduction of anastomotic tension by circular myotomy","volume":"6","author":"Livaditis","year":"1972","journal-title":"Scand J Thorac Cardiovasc Surg"},{"key":"B21","doi-asserted-by":"publisher","first-page":"214","DOI":"10.1007\/BF00178419","article-title":"Esophageal reconstruction by elongation of the lesser gastric curvature","volume":"11","author":"Sch\u00e4rli","year":"1996","journal-title":"Pediatr Surg Int"},{"key":"B22","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1007\/s003830050426","article-title":"Long-gap esophageal atresia: reconstruction preserving all portions of the esophagus by Sch\u00e4rli\u2019s technique","volume":"14","author":"Fern\u00e1ndez","year":"1998","journal-title":"Pediatr Surg Int."},{"key":"B23","doi-asserted-by":"publisher","first-page":"363","DOI":"10.1016\/j.jpedsurg.2006.10.009","article-title":"Jejunal pedicle grafts for reconstruction of the esophagus in children","volume":"42","author":"Bax","year":"2007","journal-title":"J Pediatr Surg"},{"key":"B24","doi-asserted-by":"publisher","first-page":"928","DOI":"10.1016\/S0022-5223(19)37191-0","article-title":"Technique of jejunal interposition for esophageal replacement","volume":"83","author":"Foker","year":"1982","journal-title":"J Thorac Cardiovasc Surg"},{"key":"B25","doi-asserted-by":"publisher","first-page":"e10","DOI":"10.1016\/j.jpedsurg.2004.03.076","article-title":"Pharyngo-esophageal reconstruction by free jejunal graft and microvascular anastomosis in a 10-year-old girl","volume":"39","author":"Saitua","year":"2004","journal-title":"J Pediatr Surg"},{"key":"B26","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1055\/s-0033-1350058","article-title":"International survey on the management of esophageal atresia","volume":"24","author":"Zani","year":"2014","journal-title":"Eur J Pediatr Surg"},{"key":"B27","doi-asserted-by":"publisher","first-page":"312","DOI":"10.1055\/s-0035-1562926","article-title":"Bridging the gap in the repair of long-gap esophageal atresia: still questions on diagnostics and treatment","volume":"25","author":"von Allmen","year":"2015","journal-title":"Eur J Pediatr Surg"},{"key":"B28","doi-asserted-by":"publisher","first-page":"535","DOI":"10.1016\/j.jpedsurg.2014.05.026","article-title":"A two-center comparative study of gastric pull-up and jejunal interposition for long gap esophageal atresia","volume":"50","author":"Gallo","year":"2015","journal-title":"J Pediatr Surg"},{"key":"B29","doi-asserted-by":"publisher","first-page":"276","DOI":"10.1016\/j.jpedsurg.2003.11.032","article-title":"Gastric transposition in children\u2014a 21-year experience","volume":"39","author":"Spitz","year":"2004","journal-title":"J Pediatr Surg"},{"key":"B30","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1093\/gastro\/gow012","article-title":"Gastric transposition as a valid surgical option for esophageal replacement in pediatric patients: experience from three Italian medical centers","volume":"5","author":"Angotti","year":"2017","journal-title":"Gastroenterol Rep (Oxf)"},{"key":"B31","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1016\/0022-3468(68)90007-9","article-title":"Esophageal replacement with a gastric tube in infants and children","volume":"3","author":"Burrington","year":"1968","journal-title":"J Pediatr Surg"},{"key":"B32","doi-asserted-by":"publisher","first-page":"1457","DOI":"10.1016\/j.jpedsurg.2015.03.065","article-title":"Long-term follow-up after esophageal replacement in children: 45-year single-center experience","volume":"50","author":"Lima","year":"2015","journal-title":"J Pediatr Surg"},{"key":"B33","first-page":"1209","article-title":"Oesophagoplastikmit hilfe des quercolon","volume":"38","author":"Kelling","year":"1911","journal-title":"Zentralbl Chir"},{"key":"B34","first-page":"535","article-title":"\u00dcberantethoracle \u00f6sophagusplastik","volume":"53","author":"Lundblad","year":"1921","journal-title":"Acta Chir Scand"},{"key":"B35","doi-asserted-by":"publisher","first-page":"314","DOI":"10.4103\/1119-3077.130232","article-title":"Right colon interposition in corrosive esophageal long segment stricture: our local experience","volume":"17","author":"Eze","year":"2014","journal-title":"Niger J Clin Pract"},{"key":"B36","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1186\/s40792-015-0020-x","article-title":"Secondary reconstruction with a transverse colon covered with a pectoralis major muscle flap and split thickness skin grafts for an esophageal defect and wide skin defects of the anterior chest wall","volume":"1","author":"Sadanaga","year":"2015","journal-title":"Surg Case Rep"},{"key":"B37","doi-asserted-by":"publisher","DOI":"10.21767\/2471-299X.1000036","article-title":"Colon reconstruction and esophageal reconstructive surgery","volume":"2","author":"Boukerrouche","year":"2016","journal-title":"Med Clin Rev"},{"key":"B38","first-page":"751","article-title":"Esophageal replacement in children: experience with thirty-one cases","volume":"100","author":"West","year":"1986","journal-title":"Surgery"},{"key":"B39","doi-asserted-by":"publisher","first-page":"1106","DOI":"10.1016\/j.jpedsurg.2016.01.005","article-title":"Interdisciplinary approach to esophageal replacement and major airway reconstruction","volume":"51","author":"Lobeck","year":"2016","journal-title":"J Pediatr Surg"},{"key":"B40","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1016\/s0022-3468(96)90316-4","article-title":"Intestinal bypass of the esophagus","volume":"31","author":"Raffensperger","year":"1996","journal-title":"J Pediatr Surg"},{"key":"B41","doi-asserted-by":"publisher","first-page":"116","DOI":"10.4103\/0971-9261.182584","article-title":"The use of ileocolic segment for esophageal replacement in children","volume":"21","author":"Bal","year":"2016","journal-title":"J Indian Assoc Pediatr Surg"},{"key":"B42","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1002\/bjs.1800770120","article-title":"Role of pyloroplasty in the retrosternal stomach: results of a prospective, randomized, controlled trial","volume":"77","author":"Mannell","year":"1990","journal-title":"Br J Surg"},{"key":"B43","doi-asserted-by":"publisher","first-page":"1471","DOI":"10.1016\/j.jpedsurg.2007.04.001","article-title":"Esophageal replacement in the neonatal period in infants with esophageal atresia and tracheoesophageal fistula","volume":"42","author":"Gupta","year":"2007","journal-title":"J Pediatr Surg"},{"key":"B44","doi-asserted-by":"publisher","first-page":"433","DOI":"10.1007\/s00268-014-2819-1","article-title":"Impact of the route of reconstruction on post-operative morbidity and malnutrition after esophagectomy: a multicenter cohort study","volume":"39","author":"Yamasaki","year":"2015","journal-title":"World J Surg"},{"key":"B45","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1136\/adc.32.161.11","article-title":"Oesophageal reconstruction in children using intrathoracic colon","volume":"32","author":"Sherman","year":"1957","journal-title":"Arch Dis Child"},{"key":"B46","doi-asserted-by":"publisher","first-page":"729","DOI":"10.1007\/BF02384986","article-title":"Esophageal replacement with colon in children using either the intrathoracic or retrosternal route: an analysis of both surgical and long-term results","volume":"27","author":"Pompeo","year":"1997","journal-title":"Surg Today"},{"key":"B47","doi-asserted-by":"publisher","first-page":"634","DOI":"10.1016\/S0003-4975(10)60272-X","article-title":"Esophageal replacement with colon in children: functional results and long-term growth","volume":"36","author":"Kelly","year":"1983","journal-title":"Ann Thorac Surg"},{"key":"B48","doi-asserted-by":"publisher","first-page":"553","DOI":"10.1002\/ags3.12685","article-title":"What is the best reconstruction procedure after esophagectomy? A meta-analysis comparing posterior mediastinal and retrosternal approaches","volume":"7","author":"Booka","year":"2023","journal-title":"Ann Gastroenterol Surg"}],"container-title":["Frontiers in Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2023.1300802\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,23]],"date-time":"2023-11-23T15:07:43Z","timestamp":1700752063000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2023.1300802\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,22]]},"references-count":48,"alternative-id":["10.3389\/fped.2023.1300802"],"URL":"https:\/\/doi.org\/10.3389\/fped.2023.1300802","relation":{},"ISSN":["2296-2360"],"issn-type":[{"value":"2296-2360","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11,22]]},"article-number":"1300802"}}