Colonic interposition, a contemporary experience: technical …
网页Colonic interposition is rarely required in modern oesophageal practice, but with this technique good long-term nutritional and functional outcomes can be obtained. It is required in the armamentarium of a specialist centre, and training given its rarity may require novel approaches such as simulation and cadaveric-based training.
Esophageal Replacement With Colon Interposition
网页Eighty-three percent of those responding could eat three meals a day without difficulty. Sixty-nine percent reported the pleasure of an unrestricted diet. Patients with a colon interposition tended to experience less early satiety …
Colonic Interposition for Benign Disease - Operative Techniques in ...
网页Colon interposition is a challenging operation but remains an excellent option in patients where a gastric pull-up is not available or would be an oncologic compromise. Long-term function is excellent provided strict attention to operative detail is maintained.
Alternative conduits for esophageal replacement - PMC
网页2017年3月7日 · Colonic interposition. Colonic interposition has been used for esophageal reconstruction since the early 1900s . Either the left or right colon may be utilized and in either case, the transverse colon is always required. Proponents of colonic interposition recommend this option in many cases for its substantial length.
Quality of life of patients with a colonic interposition ...
网页2018年12月12日 · Colonic interposition (CI) is a good alternative when a gastric tube (GT) is unavailable or when a remnant with great length is needed. After caustic ingestion, the stomach is often involved in the corrosive burns, making CI the preferred late reconstructive method to restore digestive continuity [1–5].
Colon Interposition for Staged Esophageal Reconstruction
网页The colojejunal anastomosis is placed in a retrocolic position (C). A new feeding jejunostomy is placed in the afferent limb, using a Wützel technique, and guided across the jejunal anastomosis to provide postoperative supplemental enteric nutrition (Fig. 9).
Operative outcomes and long‐term survival of patients …
网页2022年1月27日 · Colon interposition. Colon interposition was principally performed using the right colon, with the right branch of the middle colic artery as the main feeding artery. The ileocolonic artery was dissected or preserved on a case‐by‐case basis.
Esophageal replacement when stomach conduit is unavailable: is …
网页2023年7月19日 · According to Blackmon et al. [8], 83% of the patients treated with jejunum flaps supercharging could return to an oral nutritive diet, with peristalsis in manometry tests, potentially reducing supine and nocturnal reflux, common in esophageal replacement. Another option for upper esophageal cancers is the anterolateral thigh flap [9].
网页Results. Colon interposition represented 18.5% of all operations performed for esophageal substitution during the study period. The choice of the colon resulted from an inadequate stomach in 33 cases (55%). The operative mortality rate was 8.3%. Seven patients (13.5%) required dilation of the esophagocolonic anastomosis.
Colon Interposition for Esophageal Cancer - Thoracic Surgery Clinics
网页Esophagectomy and colon interposition in the adult patient, either for primary alimentary reconstruction or as a secondary replacement after initial resection/reconstruction for malignant or benign disease, remains a valuable tool in the thoracic surgeon’s armamentarium.