What Happens After Jejunal Interposition is Complete?

If your child has EA, you may have researched available treatments and learned of two common procedures:

  • Colon transposition, in which a piece of excess colon is stitched into place as a replacement esophagus
  • Gastric pull-up, where the stomach is forced up into the chest and connected directly to the top section of esophagus

While the jejunum is more difficult to work with than colon or stomach, it provides several advantages to these other procedures:

  1. Your child has lots of jejunum available (removing some does no harm).
  2. Jejunum is resistant to acid, which means your child is less likely to develop a reflux disorder as a result of the procedure.
  3. The diameter and wall width of the jejunum is a closer match to the esophagus than the colon is, making it a better overall fit.
  4. The jejunum maintains its peristalsis, which means that it will continue to push food successfully once it’s relocated to the esophagus.
  5. The outcomes of this procedure are considerably better than the alternatives. Using a part of the colon instead of the jejunum can have very unpleasant side effects for children (such as odor, digestive trouble, the inability to eat before bed, etc.), and over time the colon can lose its function.
  6. Jejunum does not twist or “kink” like the colon

Make an Appointment

To make an appointment or speak with a member of our team, please call 617-355-3038.

International Patients

For families residing outside of the United States, please call Boston Children's International Health Services at +01-617-355-5209.