Vascular anatomical considerations in preparing colonic flaps to replace the oesophagus

Abstract Background The colon is among the best options to substitute oesophagus; it well known for its durability and good function that makes most suitable paediatric patients. steps of procedure, postoperative complications, outcome assessment were thoroughly discussed in previous reports. However, this report, we have tried focus on one basic essential step operation, which fashioning colonic flap used oesophagus. Results study included 50 consecutive cases who underwent replacement oesophagus during period 2010 through 2020. indication oesophageal was either atresia (27 cases) or corrosive strictures (23 cases). Our standard technique using a middle segment (transverse colon) based left colic vessels (vascular pedicle) after ligation vessels. Variations encountered single, double, absent In single case (2%), multiple, short, non-branching with interrupted continuity marginal at point. latter situation, had use different by right Conclusion oesophagus, preparing pedicled from transverse almost always feasible owing stable collateral On rare occasion, disturbed anatomy when shift another flap.