Colonic Interposition After Esophagectomy for Cancer

Davis, Peter A.

doi:10.1001/archsurg.138.3.303

Cited by 144 publications

(125 citation statements)

References 30 publications

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“…Our postsurgical complication rates of graft necrosis (6.2%), anastomotic leak (12.5%), and anastomotic stricture (18.7%) were similar to those previously reported (Table 3) (1,3,(11)(12)(13)(14)(15)(16)(17)(18)(19)(20) Of these studies, five (including ours) routinely used preoperative angiography in all or a defined select group of patients, two did not use routine preoperative angiography, and six did not report whether preoperative angiography was used. The rate of graft necrosis ranged from 3% to 5% in those who did not routinely perform preoperative angiography; 3% to 9.6% in those who did perform angiography in all or a predefined select group of patients; and 0% to 9% in those who did not report if they did or did not perform angiography.…”

Section: Discussionsupporting

confidence: 87%

The role of preoperative angiogram in colon interposition surgery

McDermott

Deipolyi

Walker

et al. 2011

Diagn Interv Radiol

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Section: Discussionsupporting

confidence: 87%

The role of preoperative angiogram in colon interposition surgery

McDermott

Deipolyi

Walker

et al. 2011

Diagn Interv Radiol

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“…Colonic interposition had increased morbidity, compared with gastric transposition. However the overall mortality and survival were similar to those for gastric transposition [9].…”

Section: Discussionsupporting

confidence: 62%

Tubular Adenomatous Polyp in a Colon Interposition: A Case Report and Review of Literature

2015

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Esophagectomy with colon interposition is a technique used for the replacement of a diseased esophagus. Since segments of the colon are used in this procedure, clinicians must be aware that a variety of pathologies can arise from colonic interposition. Therefore, patients who undergo this procedure and are due for a screening or surveillance colonoscopy must also get a screening or surveillance upper endoscopy to examine the interposed colon. We report a case of a 59-year-old male who had a history of Barrett's esophagus with high grade dysplasia successfully treated with colon interposition. Upper endoscopy showed a tubular adenomatous polyp of the colonic segment.

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“…Due to its simple preparation, reliable blood supply, as well as the decreased anastomosis required, the stomach is the primary choice for upper gastrointestinal reconstruction (10,11). If the exploratory surgery in patients with gastric tumors reveals that the tumor is small, but close to the pyloric ring, surgery to excise the tumor alone may leave residual tumor cells and pyloric stenosis.…”

Section: Discussionmentioning

confidence: 99%

Treatment of esophageal-gastric double primary cancer by pedunculated remnant gastric interposition, esophageal-gastric anastomosis and gastrojejunal Billroth II anastomosis: A case report

et al. 2015

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Abstract.With the continuous advancement of clinical diagnostic techniques, including imaging technology, the incidence of confirmed multiple primary cancers or double primary carcinoma increases yearly. However, studies reporting synchronization surgery performed for primary dual esophageal gastric cancer are rare. The present study reports the case of a patient with double primary esophageal-gastric cancer, located in the thoracic cavity segment of the esophagus and gastric antrum of the stomach, respectively. The gastric cancer was diagnosed by endoscopy biopsy with concomitant esophageal cancer. The patient underwent gastric cancer resection, and pedunculated remnant gastric interposition esophagogastric side anastomosis was performed with gastrojejunostomy Billroth II anastomosis behind the colon. Abdominal cavity lymph node dissection was also performed. The esophagealgastric double primary cancer was simultaneously excised and the gastric regions were used in the construction of the upper gastrointestinal tract: The surgery was successful. However, two weeks after surgery, upper gastrointestinal imaging revealed esophagogastric anastomotic leakage. Subsequently, an esophageal stent was inserted and antibiotics and additional treatment was administered. Follow-up one year after surgery revealed that the patient was well and remained in a stable condition.

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Colonic Interposition After Esophagectomy for Cancer

Abstract: The use of colonic interposition in esophageal replacement after esophagectomy for cancer results in similar morbidity, mortality, and long-term outcome compared with gastric transposition.

Cited by 144 publications

References 30 publications

The role of preoperative angiogram in colon interposition surgery

The role of preoperative angiogram in colon interposition surgery

Tubular Adenomatous Polyp in a Colon Interposition: A Case Report and Review of Literature

Treatment of esophageal-gastric double primary cancer by pedunculated remnant gastric interposition, esophageal-gastric anastomosis and gastrojejunal Billroth II anastomosis: A case report

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