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Colonic transposition using mid colon for corrosive oesophageal strictures
Vinay H G1, Ramesh Reddy G1, Ramprashanth M P1
1Department of General Surgery, Vydehi Institute of Medical Sciences & Research Centre, RGUHS, Bangalore, 560066 Karnataka India.
Indian Journal of Thoracic and Cardiovascular Surgery
|December 21, 2023
Summary
Mid colon transposition offers a viable surgical option for reconstructing diffuse corrosive esophageal strictures. This technique provides a successful alternative for long-segment esophageal reconstruction.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Esophageal Surgery
Background:
- Corrosive esophageal strictures present a significant challenge in surgical reconstruction.
- Traditional reconstruction methods may have limitations for long-segment damage.
Purpose of the Study:
- To evaluate the efficacy of mid colon interposition for esophageal reconstruction in diffuse corrosive strictures.
- To compare mid colon as a conduit against other reconstruction modalities.
Main Methods:
- A prospective observational study involving 8 patients over 4 years (Jan 2017-Dec 2020).
- Surgical management utilized retrosternal oesophagocoloplasty with gastrojejunostomy.
- Patients were followed up for a mean of 32 months.
Main Results:
- No intraoperative or hospital mortality was observed.
- One patient experienced aspiration pneumonia, and another had an anastomotic leak postoperatively.
- Successful reconstruction was achieved in all patients.
Conclusions:
- Securing the correct vascular pedicle and employing sound anastomosis techniques are crucial for successful reconstruction.
- Colonic transposition using the mid colon is a viable alternative for long segment esophageal strictures.
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