Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Esophageal Strictures-I: Introduction01:30

Esophageal Strictures-I: Introduction

1.3K
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
1.3K
Esophageal Achalasia01:27

Esophageal Achalasia

45
Esophageal achalasia is a chronic neurogenic disorder characterized by impaired relaxation of the lower esophageal sphincter (LES) and absent or ineffective peristalsis in the distal esophagus. This leads to a functional obstruction without a physical blockage, despite significant disruption of esophageal motility.EtiologyAchalasia is caused by degeneration of the myenteric (Auerbach's) plexus, specifically the loss of inhibitory ganglion cells that produce vasoactive intestinal peptide...
45
Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

844
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
844
Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

1.1K
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
1.1K
Oxygen Delivering System III: Tracheostomy and T-piece01:23

Oxygen Delivering System III: Tracheostomy and T-piece

9.5K
Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
9.5K
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

5.8K
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
5.8K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Correction: Prisciandaro et al. Anatomical Versus Non-Anatomical Pulmonary Metastasectomy: European Multicentre Analysis. <i>Cancers</i> 2026, <i>18</i>, 1037.

Cancers·2026
Same author

Systematic or On-Demand Sealant Use in Minimally Invasive Lung Surgery: A Matched Comparison.

Interdisciplinary cardiovascular and thoracic surgery·2026
Same author

Predictors of Loco-Regional Recurrence After Pulmonary Non-Anatomical Metastasectomy: A Multicentre Retrospective Analysis.

European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery·2026
Same author

Exome sequencing points to pathogenic ATM variants in gastric cancer.

European journal of human genetics : EJHG·2025
Same author

Outcomes of Non-Small-Cell Lung Cancer Resection in Patients With Synchronous Brain Metastases.

European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery·2025
Same author

Compliance with antimicrobial stewardship guidelines in surgery: an observational, multidisciplinary, cohort study.

World journal of emergency surgery : WJES·2025

Related Experiment Video

Updated: May 4, 2026

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
09:40

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function

Published on: April 17, 2020

16.7K

Colon interposition for oesophageal replacement.

Pascal A Thomas1, Adrian Gilardoni, Delphine Trousse

  • 1Department of Thoracic Surgery and Diseases of the Oesophagus, Sainte Marguerite Hospital, University of the Mediterranean, Assistance Publique and Hôpitaux de Marseille, 270 bvd Sainte Marguerite, 13274 Marseille, France.

Multimedia Manual of Cardiothoracic Surgery : MMCTS
|January 14, 2014
PubMed
Summary

Colon interposition is a durable esophageal substitute when the stomach is unavailable. This surgical technique, using the transverse and ascending colon, offers excellent functional results for patients with benign or malignant esophageal disease.

More Related Videos

Author Spotlight: Cutting-Edge Robotic Heller Myotomy Protocol for Treatment of Achalasia
09:46

Author Spotlight: Cutting-Edge Robotic Heller Myotomy Protocol for Treatment of Achalasia

Published on: February 16, 2024

1.8K
Robotic Myotomy and Partial Fundoplication for Achalasia
11:19

Robotic Myotomy and Partial Fundoplication for Achalasia

Published on: August 11, 2023

2.3K

Related Experiment Videos

Last Updated: May 4, 2026

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
09:40

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function

Published on: April 17, 2020

16.7K
Author Spotlight: Cutting-Edge Robotic Heller Myotomy Protocol for Treatment of Achalasia
09:46

Author Spotlight: Cutting-Edge Robotic Heller Myotomy Protocol for Treatment of Achalasia

Published on: February 16, 2024

1.8K
Robotic Myotomy and Partial Fundoplication for Achalasia
11:19

Robotic Myotomy and Partial Fundoplication for Achalasia

Published on: August 11, 2023

2.3K

Area of Science:

  • Gastrointestinal Surgery
  • Surgical Oncology
  • Thoracic Surgery

Background:

  • The stomach is the preferred esophageal substitute, but its unavailability necessitates alternative options.
  • Colon interposition offers a durable and functional solution for esophageal reconstruction in select patients.
  • Benign or malignant esophageal diseases requiring long-term survival are primary indications for colon interposition.

Purpose of the Study:

  • To detail the surgical technique and considerations for colon interposition as an esophageal substitute.
  • To highlight the importance of vascular anatomy and graft selection in achieving successful outcomes.
  • To outline technical key points for optimal graft viability and function.

Main Methods:

  • Selection of the transverse colon with ascending colon for reconstruction, considering graft length and vascular supply.
  • Isoperistaltic positioning of the graft, supplied by left or middle colic vessels.
  • Key technical steps include full colon mobilization, vascular identification, prolonged clamping tests, and specific anastomosis techniques.

Main Results:

  • Transposition through the posterior mediastinum offers the best functional results due to shortest conduit length.
  • Retro-sternal route is a viable alternative when the esophageal bed is unavailable.
  • Single-layer hand-fashioned end-to-end proximal anastomosis prevents narrowing; distal anastomosis and adjunct procedures (gastric drainage or Roux-en-Y loop) are tailored to patient factors.

Conclusions:

  • Colon interposition is a reliable esophageal substitute when the stomach is unavailable, providing excellent functional outcomes.
  • Meticulous surgical technique, including vascular pedicle selection and anastomosis, is crucial for graft viability.
  • Adjunct procedures ensure optimal function and prevent complications like reflux and internal hernia.