[Colonic esophagoplasty in the treatment of postburn esophageal stricture]. / Tovstokyshkova ezofahoplastyka pry likuvanni pisliaopikovoï stryktury stravokhodu.

In patients aged from 2.5 to 67 years 56 esophagoplasties were done. The authors prefer the left half of the colon application with the blood supply through the middle colonic artery and with antiperistaltic transplant position. In 53 of 56 patients the transplant was conducted to the neck in retrosternal tunnel. General mortality is 7.1%. Literary data and own views on the problem of possible esophageal malignancy origin in the late period after burn occurrence, the surgical tactics versions are adduced.

[Mechanism of reflux and prevention of the pulmonary effects of aspiration after retrosternal colonoplasty for esophageal atresia in neonates and infants]. / Mekhanizm refliuksa i preduprezhdenie aspiratsionnykh porazhenii legkikh posle zagrudinnoi tolstokishechnoi plastiki pishchevoda pri ego atrezii u novorozhdennykh i grudnykh detei.

The article discusses the causes of the development and prevention of gastrointestinal reflux in the early period after colonic retrosternal plasty of the esophagus in the newborns and infants. The mechanism of reflux linked with flotation of pleural sacs in the retrosternal tunnel, producing a pumping effect, is described. As a preventive measure the authors recommend postponing the cervical anastomosis for 12-14 days and forming a narrow retrosternal tuppel for the graft. Operations were conducted on 15 children, 3 of them died, one from massive reflux, aspiration, and asphyxia.