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Published on: April 17, 2020
"Supercharged" isoperistaltic colon interposition for long-segment esophageal reconstruction
Kenneth A Kesler1, Saila T Pillai, Thomas J Birdas
1Division of Cardiothoracic Surgery, Department of Surgery, Indiana University Melvin and Bren Simon Cancer Center, Indianapolis, Indiana 46202, USA. kkesler@iupui.edu
The Annals of Thoracic Surgery
|February 26, 2013
Summary
This study presents a "supercharged" colon interposition technique for esophageal reconstruction when the stomach is unavailable. This method successfully reestablishes dual blood supply, improving outcomes for complex cases.
Area of Science:
- Surgical Oncology
- Gastroenterology
- Thoracic Surgery
Background:
- Long-segment esophageal reconstruction is challenging without the stomach.
- A
- supercharged
- isoperistaltic colon interposition conduit reestablishes dual blood supply.
Purpose of the Study:
- To evaluate the efficacy of a
- supercharged
- isoperistaltic colon conduit for esophageal reconstruction when the stomach is unavailable.
Main Methods:
- Retrospective review of 11 patients undergoing esophageal reconstruction with a supercharged colon conduit.
- Conduits routed through the anterior mediastinum with reimplantation of specific vessels to enhance distal blood flow.
Main Results:
- Successful esophagocolonic healing in all 11 patients.
- Excellent flow in reimplanted vessels confirmed by Doppler.
- The stomach was unavailable due to prior surgery or malignancy in all cases.
Conclusions:
- Supercharged isoperistaltic colon interposition is a viable option for esophageal reconstruction when the stomach is unavailable.
- Dual blood supply reestablishment minimizes ischemic complications.
- This technique offers a potential advantage over small bowel conduits regarding distal conduit perfusion in case of thrombosis.
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