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Related Experiment Videos

Long-segment colon interposition for acquired esophageal disease.

J C Wain1, C D Wright, E Y Kuo

  • 1Division of Thoracic Surgery, Massachusetts General Hospital, Boston 02114, USA. wain.john@mgh.harvard.edu

The Annals of Thoracic Surgery
|April 10, 1999
PubMed
Summary

Long colon interposition is a safe and effective esophageal replacement for acquired esophageal diseases, offering good long-term functional results for patients.

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Thoracic Surgery

Background:

  • Long-segment colon interposition is a surgical technique for esophageal replacement.
  • Its indications, morbidity, and functional outcomes for acquired esophageal disease remain debated.

Purpose of the Study:

  • To evaluate the safety and functional results of long colon interposition for acquired esophageal disease.

Main Methods:

  • Retrospective review of 52 patients undergoing long colon interposition from 1956 to 1997.
  • Analysis of medical records, office visits, and operative reports.
  • Categorization of indications including caustic injury, gastroesophageal disease, irradiation, motility disorders, and esophageal absence.

Main Results:

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  • The left colon was used in 46 patients; the right colon in 6.
  • In-hospital mortality was 4%. Early complications included graft ischemia and anastomotic leak.
  • Late complications included anastomotic stenosis (26 patients) and bile reflux (1 patient). Swallowing function was good to excellent in 90% of patients.

Conclusions:

  • Long colon interposition can be safely performed for acquired esophageal disease.
  • The procedure offers acceptable long-term functional results.