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.
Esophageal Reconstruction - StatPearls - NCBI Bookshelf
网页2023年4月24日 · The main conduits used for esophageal reconstruction after esophagectomy include interposition grafts such as gastric, colon, and jejunum. There are also a number of free flaps that can be utilized, including pedicled, local flaps such as the pectoralis major and supraclavicular island flaps, or …
Colon Interposition for Staged Esophageal Reconstruction
网页Esophageal reconstruction using the colon interposition, particularly for the patient in discontinuity, is a challenging operation, for which preoperative patient education and assessment with appropriate rehabilitation and conditioning are essential.
A Comparison of Different Types of Esophageal Reconstructions: A ...
网页2022年8月26日 · Colon interposition and free jejunal flap for esophageal reconstruction are the alternative choices when the gastric tube is not available. However, to date, a solution for the high anastomosis leakage rates among these three types of …
Colonic interposition, a contemporary experience: technical aspects and ...
网页Colonic interposition is rarely used as an oesophageal replacement after resection, as the preferred use of stomach involves less anastomoses and lower risks of major complications. The functional outcome from the colonic conduit is also unpredictable. This report documents the spectrum of experienc …
Colonic interposition, a contemporary experience: technical …
网页2020年11月12日 · 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
Colon Interposition for Esophageal Replacement: Current Indications and ...
网页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.
Colonic replacement of the esophagus: towards standardization …
网页2019年8月1日 · Most specifically, the distal end of the colonic flap is anastomosed to the posterior wall of the body of the stomach in order to prevent regurgitation of gastric contents into the colonic flap. The retro-sternal colon bypass is among the successful options to replace the esophagus in children.
Colon Interposition for Esophageal Cancer - Thoracic Surgery …
网页The isoperistaltic left colon interposition pedicled on the ascending branch of the left colic artery is favored, but several variations are possible. Stomach is the most common first choice for esophageal replacement after work by Akiyama, 8 with colonic interposition representing the most common alternative when the stomach is not available ...
Right colonic interposition for severe pharyngoesophageal …
网页2021年10月1日 · Right colonic interposition represents a feasible option in carefully selected patients with end-stage stricture after failure of less invasive reconstructive techniques or if the location of the stricture makes a tension free anastomosis impossible between the flap and the esophagus. Abstract.