esophageal reconstruction using right colon interposition background: Esophageal replacement therapy is indicated for benign and malignant esophageal lesions and can be performed using stomach, jejunum or colon. aim: To report the experience using right colon interposition for esophageal replacement. material and methods: Review of medical records of 41 patients aged 17 to 73 years (29 males), subjected to right colon interposition in the last 20 years. Indications, complications, mortality and long term results were recorded. results: Forty nine percent of patients had a malignant esophageal lesion. Esophagectomy was performed using a transhiatal route or thoracotomy in 44 and 30% of patients, respectively. Retroesternal ascension was the most common route used in 88% of patients. The most common surgical complication was cervical fistula in 29% of patients, followed by fistula of the anastomosis between colon and jejunum in 7% of patients. Pneumonia was the most common medical complication. Postoperative mortality was 7%. conclusions: The mortality in this series of patients is similar to that reported elsewhere.

(Rev Med Chile 2013; 141: 419-427).

development and testing of an instrument to assess body shape related quality of life background: The assessment of patient satisfaction and quality of life after body remodeling surgery is important. aim: To develop and assess a self-report instrument to evaluate the results of bariatric and body remodeling surgery. material and methods: A three phase methodology was used. In phase 1, literature was reviewed and in depth interviews to patients were carried out, creating a preliminary instrument that was applied to 1,340 patients in phase 2. In phase 3, the final assessment of the instrument was performed, applying it to 34 patients. The psychometric properties of the in instrument were evaluated. results: The instrument has four domains (satisfaction with abdomen, sexual life, self-esteem and social life and psychological symptoms) and 20 items. Its score ranges from 20 (worst) to 100 (better). Response rate was 100%, internal reliability was 93% and test-re test concordance was 98%. Body shape related quality of life was significantly higher in men than in women. It decreases with age and with increasing body mass index. Patients subjected to bariatric surgery had lower scores than patients subjected to esthetic surgery. In the postoperative period, the score improved by 21.9 ± 16.9 points. conclusions: The instrument developed can reliably measure quality of life associated with body shape.key words: quality of life, body shape, bariatric surgery.

Development of an instrument to evaluate the results of plastic surgery from the perspective of the patient Background: Body remodeling surgical procedures requires an assessment from the client's point of view in terms of esthetic satisfaction. Aim: To develop an instrument of assess body remodeling surgical results from the point of view of the patient. Material and Methods: A literature search for assessment methods was carried out. Posteriorly, in depth interviews and focus groups with plastic surgeons and patients subjected to plastic surgery procedures were performed. With this information, a conceptual framework was established to devise the instrument. Results: Sixteen patients and five plastic surgeons participated in the interviews and focus groups. The domains included in the conceptual framework were outfit and body image, affective and sexual life, self-image and esteem, social relationships and physical symptoms. Conclusions: The conceptual framework for the instrument is ready and the psychometric evaluation is the next step in its development.

second primary cancer. review of 196 cases Background: A second primary cancer is that occurring in patients who have survived a previous cancer and its frequency is 16%. aim: To identify and characterize patients with a second primary cancer treated in a clinical hospital. material and methods: Review of the database of the Clinical Oncology Unit of a surgical department between 2004 and 2012. Among 4,007 patients operated for cancer, 196 (mean age 63 years, 51% women) had a previous history of cancer, whose medical records were reviewed. results: In the study period the frequency of a second primary cancer in endocrinological, thoracic and digestive surgery was 4.9%. There was a mean lapse of 8.2 years between the first and second cancer and 24% of patients had a family history of cancer. The second primary lesions were located in colon in 26%, stomach in 19%, thyroid in 16%, rectum in 12%, pancreas in 8% and lung in 8%. Sixty five percent of lesions was diagnosed in stage IV with peritoneal and lung metastases in 38 and 25% respectively. conclusions: Second primary cancer is uncommon in this series. The high frequency of colon cancer must be highlighted. Due to the lapse between the first and second tumor, follow up of patients treated for cancer should be maintained for at least eight years.