Cologastric reflux

Reflux here can cause bleeding, ulceration and scarring, and rarely can result in erosion of the colon wall, causing massive bleeding without pain as the transplant is insensate.


  • Surgical treatment, including an anti-reflux wrap
  • Gastric resection
  • Diversion of bile and acid

164. Burgos L, Barrena S, Andrés AM, Martínez L, Hernández F, Olivares P, et al. Colonic interposition for esophageal replacement in children remains a good choice: 33-year median follow-up of 65 patients. J Pediatr Surg. 2010 Feb 1;45(2):341–5.