Evidence map›Paper›PMID 40195178›Full record

ArticleEsophagus : official journal of the Japan Esophageal Society2025

Outcomes of transhiatal colon bypass with or without esophagectomy for establishing continuity after corrosive esophageal burns in pediatric patients.

Heba Taher, Ahmed Amgad, Andrew Magdi, Ahmed Magdy, Hytham Esmate El Tantawi, Sherif N Kaddah, Sherifa Tawfik, Mahmoud Tarek, Khaled S Abdullateef

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Article in Esophagus : official journal of the Japan Esophageal Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

What it found

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Heba TaherDepartment of Pediatric Surgery, Cairo University, Cairo, Egypt. tsherifa1@cu.edu.eg.ORCID 0000-0001-7654-5670
Ahmed AmgadFaculty of Medicine, Helwan University, Cairo, Egypt.
Andrew MagdiFaculty of Medicine, Cairo University, Cairo, Egypt.
Ahmed MagdyFaculty of Medicine, Cairo University, Cairo, Egypt.
Hytham Esmate El TantawiDepartment of Pediatric Surgery, Cairo University, Cairo, Egypt.
Sherif N KaddahDepartment of Pediatric Surgery, Cairo University, Cairo, Egypt.
Sherifa TawfikDepartment of Pathology, Egyptian Ministry of Health, Cairo, Egypt.
Mahmoud TarekDepartment of Pediatric Surgery, Cairo University, Cairo, Egypt.
Khaled S AbdullateefDepartment of Pediatric Surgery, Cairo University, Cairo, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study evaluates the outcomes of transhiatal colon bypass, with or without esophagectomy, as a surgical intervention for esophageal replacement in pediatric patients with severe corrosive esophageal strictures, focusing on safety, complications, and long-term functional outcomes. MATERIALS AND

methodsA retrospective analysis was conducted on pediatric patients who underwent transhiatal colon bypass between 2016 and 2019. The study included cases both with and without simultaneous esophagectomy. Standardized follow-up protocols were used to monitor complications, mortality, and long-term outcomes.

resultsTen pediatric patients were included, with seven undergoing esophagectomy as part of the transhiatal colon bypass. The esophagectomy group had a significantly longer operative time (6.0 ± 0.7 h vs. 5.0 ± 0.4 h, p = 0.02). Intraoperative complications included vagus nerve injury (2 cases) and one intraoperative death. Postoperative issues included pneumonia (2 cases) and anastomotic leaks (2 cases). Long-term complications included anastomotic strictures and one case of intestinal obstruction. Despite these complications, both groups showed normal growth and good functional outcomes, with no significant differences in manometric results (p = 1.00).

conclusionTranshiatal colon bypass is a safe and effective option for esophageal replacement in pediatric patients with corrosive esophageal strictures. While esophagectomy increases surgical complexity and risks, it may be necessary in cases where the native esophagus poses long-term risks. Intraoperative assessment is crucial in deciding whether to include esophagectomy.

Indexed as

Burns, ChemicalColonEsophageal StenosisEsophagectomyEsophagusAdolescentCausticsChildChild, PreschoolFemaleHumansMaleOperative TimePostoperative ComplicationsRetrospective StudiesTreatment OutcomeCausticsCorrosive injuryEsophageal replacementEsophagectomyPediatricsTranshiatal colon bypass

Identifiers

PMID40195178

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.