The height of patients may help to predict the risks and the prescription of omeprazole may help to minimize the risks of 2b and 3a post-corrosive esophageal stricture.
Colonic evaluation is an essential step before proceeding with esophagectomy to reconstruct by colonic interposition. Colonoscopy is the standard practice for colorectal cancer screening, but it has a chance of failing cecal intubation and carries a risk of horrific adverse events by colonic perforation. CT colonography is a less invasive alternative method reported as useful for colonoscopic screening in cases of average risk of colorectal cancer. This study set out to report our clinical experience and to evaluate CT colonography in the preoperative process for colonic interposition of esophagectomy patients. Data for esophagectomy with colonic interposition patients were retrospectively analyzed and compared the colonoscopy group with the CT colonography group. During eight years, 31 patients, 12 patients in the colonoscopy group and 19 patients in the CT colonography group, included in this study. In both groups, the patient demographic data, procedures, and outcomes were not different. After colonic interposition, endoscopy was performed, and no lesions of conduits were detected. CT colonography is a minimally invasive and reliable option for colonic evaluation method for the patient of average colorectal cancer risk who has undergone esophagectomy with colonic interposition.
Background Colonic evaluation is an essential step before proceeding with esophagectomy to reconstruct by colonic interposition. Colonoscopy is the standard practice for colorectal cancer screening, but it has a chance of failing cecal intubation and carries a risk of horrific complication by colonic perforation. CT colonography is a less invasive alternative method that has been reported as useful for colonoscopic screening in cases of average risk of colorectal cancer. This study set out to report our clinical experience and to evaluate CT colonoscopy in the preoperative process for colonic interposition of esophagectomy patients. Methods Data for esophagectomy with colonic interposition patients between March 2016 and December 2019 was retrospectively analyzed. Results Nineteen patients were included in this study with 13 in the esophageal cancer group and 6 in the corrosive esophageal injury group. The majority of conduits used ileocolonic graft. After colonic interposition, endoscopy was performed and no lesions of conduits were detected. Conclusion CT colonoscopy is a minimally invasive and reliable colonic evaluation method for the patient of average colorectal cancer risk who has undergone esophagectomy with colonic interposition.
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