a 12 year old child with liodgkin's disease and having received 12 courses of chemotherapy, was referred to thin center with esophageal obstruction. after having performed the necessary investigations, a decision was made to undertake surgery. after surgery, the patient recovered completely and presently enjoys a heallhv life.

Several conditions require subcutaneous colon bypass surgery in the esophageal diseases treatment. Esophageal reconstructions are high risk procedures because of their morbidity and mortality rate. Cervical anastomotic strictures, colon transplant redundancy, recurrent dysphagia, intestinal obstruction, regurgitation, and aspiration are the most frequent late complications. The patient assessme...

The role of goblet cells in the adaptive response of the intestine to jejunoileal bypass was studied in rats submitted to an 85% end-to-side jejunoileal bypass or sham bypass. At 36 weeks the length and wet weight of the duodenum and large bowel was 13-48% greater in animals with jejunoileal bypass. Measurements of villous height and crypt depth confirmed mucosal hyperplasia in the residual fun...

Five female patients ranging in age from 25 to 44 years are reported in whom jejunoileal bypass (three end-to-side and two end-to-end), performed for morbid obesity, was complicated 1 to three years later by symptoms of colonic pseudo-obstruction. In each case, the colon was markedly elongated, dilated, and atonic but with no demonstrable organic obstruction. The cause of this complication is n...

Three cases of jejunoileal bypass, performed for morbid obesity, were complicated 3 to 4 years later by symptoms of colonic pseudo-obstruction. In each case the colon was enlarged, dilated and atonic with no demonstrable organic obstruction. In the patient with end-to-side anastomosis, the entire colon was dilated. In the two patients with end-to-end anastomosis, the dilatation affected the col...

Extensive caustic stricture of the upper aero-digestive system (oro- and hypo-pharynx) is a severe injury with limited surgical options. We adopted augmentation of the cicatrized upper aero-digestive tract with colon as our preferred management option. The aim of this report is to describe our initial experience with the technique of colon-flap augmentation pharyngo-esophagoplasty (CFAP) for se...

In this series, six patients had periodic oesophageal dilatation with relief of symptoms. Two patients had feeding gastrostomies. Definitive surgical procedures were performed in 32 patients of which nine had oesophageal bypass, and 23 oesophageal resection with a visceral replacement. The colon was used in eight oesophageal bypass procedures and the jejunum in two. One patient who had a coloni...