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Gastrointestinal symptoms after colon interposition.

J Isolauri, E Harju, H Markkula

The American Journal of Gastroenterology

|November 1, 1986

Summary

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Gastrointestinal symptoms are common after colon interposition surgery. Almost half of patients experience reflux symptoms, though swallowing is generally unaffected.

Area of Science:

Gastroenterology
Surgical Oncology
Esophageal Surgery

Background:

Colon interposition is a surgical technique used for esophageal reconstruction.
Understanding post-operative gastrointestinal symptoms is crucial for patient management.

Purpose of the Study:

To evaluate the incidence and nature of gastrointestinal symptoms following colon interposition.
To compare symptoms between patients with malignant versus benign esophageal disease.

Main Methods:

A prospective study involving 45 patients (12 malignant, 33 benign) who underwent colon interposition.
Patients completed a 7-day diary to record eating times and gastrointestinal symptoms.
Data from diaries were compared with interview findings.

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Main Results:

No patients reported swallowing difficulties or heartburn.
24% of patients experienced no gastrointestinal symptoms.
Regurgitation (22%), vomiting (31%), and dumping syndrome (18%) were common.
No significant differences in symptoms were observed between anti- and isoperistaltic grafts.

Conclusions:

Reflux symptoms are prevalent after colon interposition, affecting nearly half of patients.
While major functional impairments like dysphagia are rare, symptomatic reflux requires attention.