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Updated: Jul 6, 2026

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
Substernal long segment left colon interposition for oesophageal replacement
A Z Khan1, I Nikolopolous, A J Botha
1Department of Surgery, St Thomas's Hospital, Lambeth Palace Road, London, UK. aamirzkhan@yahoo.com
Abstract:
Long segments of colon, transposed on a vascular pedicle, have been used for oesophageal substitution for a long time. However the techniques employed for colonic reconstruction remain debated. We describe our substernal long segment replacement technique and emphasise several key aspects which are important in management of these patients. Optimising nutritional status and pulmonary function remain important aspects. Thymectomy allows room for the colonic segment preventing venous congestion. These patients are best managed in specialist units incorporating a multidisciplinary approach with good intensive care and radiological support.
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