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Colon interposition. Long-term radiographic results.

J Isolauri1, T Paakkala, P Arajärvi

  • 1Institute of Clinical Sciences, University of Tampere, Finland.

European Journal of Radiology
|November 1, 1987
PubMed
Summary
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Colon interposition surgery for esophageal conditions can lead to radiographic changes like jejunization and strictures. Reflux was also noted in several patients, highlighting the need for careful monitoring and specific imaging techniques.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Radiology

Background:

  • Colon interposition is a surgical technique used for esophageal reconstruction.
  • It is employed in cases of both esophageal carcinoma and benign esophageal diseases.
  • Long-term radiographic follow-up is crucial for assessing graft viability and complications.

Purpose of the Study:

  • To evaluate the long-term radiographic findings after colon interposition for esophageal diseases.
  • To identify common complications and changes associated with interposed colonic grafts.
  • To recommend optimal imaging techniques for evaluating colon interpositions.

Main Methods:

  • Radiographic examination of 12 patients with esophageal carcinoma and 38 with benign esophageal disease who underwent colon interposition.

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  • Average time from surgery to examination was 71 months.
  • Assessment for specific changes including ischemia, jejunization, haustral loss, strictures, diverticula, and reflux.

    • Main Results:

    • Ischemic changes, including "jejunization", loss of haustration, and stricture formation, were observed in 15 patients.
    • Diverticula were present in the colon graft in 12 patients.
    • Reflux was identified in 17 patients when examined in the supine position.

    Conclusions:

    • Colon interposition grafts can undergo significant ischemic and structural changes over time.
    • The development of diverticula and reflux are potential long-term complications.
    • Double contrast radiography is recommended for the comprehensive examination of interposed colonic segments.