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What is interposition of the colon?

What is interposition of the colon?

Colonic interposition is a surgical procedure that replaces a section of your child’s damaged or otherwise underdeveloped esophagus with tissue from their colon (large intestine). The surgeon removes a section of the colon to reconnect the remaining esophagus to allow your child to swallow.

What is the jejunal interposition?

Jejunal interposition is a procedure in which surgeons replace the missing section of a child’s esophagus with a section of the jejunum (the middle part of the small intestine).

What is the best choice for esophageal replacement in children?

The left transverse colonic graft, based on the left colic artery, is the most frequently used conduit to replace the esophagus; the ascending or descending colon have been also used. The most widely used procedure in the past was retrosternal esophagocolonic anastomosis.

What is between liver and diaphragm?

General Discussion. Chilaiditi’s syndrome is a rare condition in which a portion of the colon is abnormally located (interposed) in between the liver and the diaphragm. The diaphragm is the muscle that separates the chest cavity from the abdomen.

How do you treat Chilaiditi syndrome?

Chilaiditi’s syndrome is typically treated conservatively with bowel rest, laxatives, and nasogastric decompression. With failure of non-operative management or development of acute abdomen surgery may be necessary. Complications can include volvulus, ischemia, and perforation.

What is bowel decompression?

In cases where the colon is enlarged, a treatment called decompression may provide relief. Decompression can be done with colonoscopy, a procedure in which a thin tube is inserted into your anus and guided into the colon. Decompression can also be done through surgery.

What is jejunal intussusception?

Intussusception is the telescoping of proximal portion of bowel (called as intussusceptum) into an adjacent distal bowel (called as intussuscipiens). It is an infrequent cause of abdominal pain in adults.

Can esophagus be replaced?

The esophagus is replaced using another organ, most commonly the stomach but occasionally the small or large intestine. In most circumstances, esophagectomy can be done with minimally invasive surgery, either by laparoscopy, robot assisted or a combination of these approaches.

How rare is Chilaiditi?

Chilaiditi syndrome is a rare condition occurring in 0.025% to 0.28% of the population. In these patients, the colon is displaced and caught between the liver and the right hemidiaphragm. Patients’ symptoms can range from asymptomatic to acute intermittent bowel obstruction. Diagnosis is best achieved with CT imaging.

What causes pneumoperitoneum?

The most common cause is a perforation of the abdominal viscus—most commonly, a perforated ulcer, although a pneumoperitoneum may occur as a result of perforation of any part of the bowel; other causes include a benign ulcer, a tumor, or trauma.

Is Chilaiditi syndrome congenital?

Chilaiditi syndrome, however, can occur due to various congenital and acquired causes: congenital factors include the absence of suspensory or falciform ligaments, redundant colon, paralytic right hemidiaphragm, malposition, and dolichocolon while acquired factors include multiple pregnancies, obesity, liver …