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 Experiment Videos

Bowel interposition for esophageal replacement: twenty-five-year experience

K A Mansour1, F C Bryan, G W Carlson

  • 1Joseph B. Whitehead Department of Surgery, Emory University School of Medicine, Atlanta, Georgia, USA.

The Annals of Thoracic Surgery
|October 6, 1997
PubMed
Summary

Bowel interposition reconstruction using colonic or jejunal grafts after esophagectomy is a safe and effective method for restoring gastrointestinal continuity in patients with benign or malignant conditions. This technique demonstrates acceptable morbidity and mortality, even in patients with a history of prior surgeries.

Related Concept Videos

You might also read

Related Articles

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

Sort by
Same author

Blood glucose levels in children with Type 1 diabetes attending a residential diabetes camp: a 2-year review.

Diabetic medicine : a journal of the British Diabetic Association·2012
Same author

Increasing Age Is Associated with Worse Prognostic Factors and Increased Distant Recurrences despite Fewer Sentinel Lymph Node Positives in Melanoma.

International journal of surgical oncology·2012
Same author

Aplastic anemia following exposure to products of the sulfite pulp industry; a report of one case.

Annals of internal medicine·2010
Same author

A reconstructive algorithm for plastic surgery following extensive chest wall resection.

British journal of plastic surgery·2004
Same author

Transesophageal echocardiography: not an innocuous procedure.

The Annals of thoracic surgery·2001
Same author

Neuroendocrine tumors of the thymus: a clinicopathological and prognostic study.

The Annals of thoracic surgery·2001

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Thoracic Surgery

Background:

  • Between 1972 and 1996, 129 patients underwent bowel interposition reconstruction following esophagectomy.
  • Indications included benign disease (72.9%) and malignant disease (27.1%).
  • Benign stricture and adenocarcinoma were the most frequent reasons for surgery in each respective group.

Purpose of the Study:

  • To evaluate the safety and efficacy of bowel interposition reconstruction after esophagectomy.
  • To assess outcomes in patients with both benign and malignant conditions.
  • To analyze complication rates and mortality associated with the procedure.

Main Methods:

  • A retrospective review of 129 patients who underwent esophagectomy with bowel interposition reconstruction.

Related Experiment Videos

  • Analysis of conduit types used, including right colon, left colon, transverse colon, and jejunal grafts.
  • Evaluation of patient demographics, prior surgical history, and operative details.

    • Main Results:

    • The study included 129 patients with a mean age of 54.5 years; 50.9% had undergone prior thoracic or abdominal procedures.
    • Complications occurred in 37.1% of patients, with anastomotic leak (14.8%) and ischemic colitis (3.0%) being notable.
    • The in-hospital mortality rate was 5.9%.

    Conclusions:

    • Bowel interposition reconstruction is a viable option for restoring gastrointestinal continuity after esophagectomy for benign and malignant diseases.
    • The procedure is associated with acceptable morbidity and mortality, even in patients with complex surgical histories.
    • Both colonic and jejunal conduits are effective for reconstruction, individually or in combination.