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Colonic interposition for esophageal substitution.

R W Postlethwait

    Surgery, Gynecology & Obstetrics
    |March 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    Colonic interposition is a durable esophageal substitute for young patients. While effective, potential complications include colon necrosis, leakage, and stenosis at the anastomosis.

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    Area of Science:

    • Gastroenterology and Surgical Procedures
    • Esophageal Reconstruction

    Background:

    • Colonic interposition is utilized for esophageal substitution when the stomach is unsuitable.
    • Long-term data now allow for a clearer understanding of its role.

    Purpose of the Study:

    • To define the role and outcomes of colonic interposition in esophageal substitution.

    Main Methods:

    • Review of accumulated clinical information and outcomes data.
    • Evaluation of complications such as necrosis, leakage, and stenosis.
    • Radiologic and manometric assessment of colonic conduit function.

    Main Results:

    • Colonic interposition serves as a well-functioning and durable conduit, particularly for pediatric and young adult patients.

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  • It is the preferred alternative when gastric substitution is not feasible.
  • Fatal complications are most commonly related to colon necrosis; anastomotic leakage and stenosis are significant issues.

    • Conclusions:

    • Colonic interposition is a valuable technique for esophageal substitution in select patient populations.
    • Ongoing vigilance for potential complications is crucial for successful long-term outcomes.
    • Functional studies indicate both gravity-dependent emptying and peristaltic activity in the colonic conduit.