Side to Side Esophagogastrojejunoplasty in Post-corrosive Stricture of Distal Esophagus and Proximal Stomach

Sharma, Praveen; Pancholi, Mukesh; Patel, Gulab R; Sharma, Abhay

doi:10.1007/s12262-015-1226-7

Cited by 3 publications

(4 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The propitious outcome in these exigent situations inspired us to perform the procedure electively for other cases as well. Similar technical innovation is reported by Sharma et al [21], where a side-to-side esophago-gastro-jejunostomy was done for the strictured distal esophagus and proximal stomach, preserving the stomach which is essential physiologically.…”

Section: Discussionsupporting

confidence: 55%

See 1 more Smart Citation

Utilization of Gastric Conduit in the Management of Combined Corrosive Esophageal and Stomach Stricture

et al. 2017

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 55%

“…One patient had cervical anastomotic leak and was managed conservatively. Median hospital stay was 9 days (7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22). At a median follow-up of 25 months (14-80), the remaining nine patients are able to take solid diet without any symptoms related to reflux.…”

Section: Resultsmentioning

confidence: 99%

Utilization of Gastric Conduit in the Management of Combined Corrosive Esophageal and Stomach Stricture

et al. 2017

View full text Add to dashboard Cite

show abstract

“…We did colon interposition in corrosive stricture of the esophagus in 125 patients within duration of 09 years (from March 2011 to February 2020) with morbidity and mortality comparable to studies in literature. 10,13,14 We adapted a technique midcolon interposition to counter difficulty in deciding length of the graft after doing 35 colon interposition. [10][11][12] In the first 90 patients treated with colon interposition, we encountered asymptomatic redundancy in 03 patients found in barium studies during follow-up visit in early postoperative period but without any sequelae later.…”

Section: Discussionmentioning

confidence: 99%

Two-Point Fixation Technique in Retrosternal Midcolon Interposition for Corrosive Stricture of Esophagus-Our Experience With 25 Patients

Sharma

Pancholi

2020

Surg Innov

Self Cite

View full text Add to dashboard Cite

Background. In 1911, Vuillet and Kelling independently described the anatomical and surgical bases of esophageal replacement with the colon. An important complication, in particular in later follow-up, is redundancy of the interposed colon, seen more after retrosternal interposition. The best treatment is prevention by a meticulous surgical technique and measurement of the length of the colon needed to replace the esophagus. Methods. This was a retrospective study of innovative surgical technique. A total of 25 patients with corrosive stricture of the esophagus undergoing two-point fixation in retrosternal colon interposition were included in the study. Preventive Operative Technique. After straightening of conduit by pulling very delicately over both sides, first fixation point we considered cervical anastomoses and second fixation point was made in subxiphoid space, taking two seromuscular stiches from the antimesenteric border of the colon to falciform ligament situated on the right side of the conduit. Results. There were 07 male and 18 female patients with M:F was 1:2.5; mean age was 29 years (range: 23-45 years) and mean hospital stay was 14 days (range: 10-23 days). In this study, we did not encounter any subjective or objective evidence of redundancy in any patients in follow-up barium swallow after 2.5 years of follow-up. Conclusion. Our Two-point fixation technique is refinement of already performed and tried fixation techniques to prevent redundancy of the colon conduit considering kinetics, anatomical alignment, and pathology.

show abstract

“…We did esophagojejunoplasty (EGJ) -a surgical innovation -in a 4 years old girl presented with history of accidental ingestion of battery acid. 10 Indian data regarding corrosive agent used, are strikingly different; majority of ingestions are due to acids used as toilet cleaner as these are more easily available and cheaper than alkalis. 11 With better management protocols available today (e.g.…”

Section: Discussionmentioning

confidence: 99%

Colon interposition in the treatment of corrosive esophageal strictures: 100 patients in seven years

Sharma

Pancholi

2019

Int Surg J

Self Cite

View full text Add to dashboard Cite

This is a study of 100 cases of corrosive stricture of esophagus managed with colon interposition within duration of seven years. With improved knowledge after review of literature and experience of more frequent procedures, we changed our technique of surgery with decreased operative time and better understanding of ABSTRACT Background: The purpose of this study is to represent the change in our concept of principles and techniques of esophagocoloplasty (midcolon esophagocoloplasty) with repetitive performance of the operation and approach of early surgical intervention (within 4-6 month of corrosive ingestion) in place of repetitive trials of dilatations and medical management, provides early better quality of life with lesser period of suffering and saving expenditure of treatment. Methods: This retrospective study comprises of consecutive 100 patients operated for colon interposition for corrosive stricture of esophagus done at two university linked government teaching hospitals during March 2011 to March 2018. Out of 100 patients, 77 female and 23 male (3:1), mean age 30.6 years (range from 21 to 47 years), mean hospital stay was 14.5 days (range 10 to 25 days) and mean operative duration was 4.5 hours (range 2.5 to 7 hours). Results: The 30 day in hospital mortality rate was 9%. There were 14 instances of leak at the esophagocolic anastomosis (14%), graft necrosis occurred in 01 patient, 08 patients (8%) developed stenosis at the esophagocolic anastomosis. More than 90% patients (n=77) had 'Good' result, 06 patients had 'Fair' and 02 had 'Poor' result. Conclusions: Midcolon graft is a solution for confusion in judgment of adequate length of graft and offer uniformity in procedure with effectively lesser operative time. Early (4-6 months after ingestion) operative intervention is advantageous to patients suffering from crippling dysphagia with repeated admission and expenditure from multiple endoscopic dilatations.

show abstract

Side to Side Esophagogastrojejunoplasty in Post-corrosive Stricture of Distal Esophagus and Proximal Stomach

Cited by 3 publications

References 3 publications

Utilization of Gastric Conduit in the Management of Combined Corrosive Esophageal and Stomach Stricture

Utilization of Gastric Conduit in the Management of Combined Corrosive Esophageal and Stomach Stricture

Two-Point Fixation Technique in Retrosternal Midcolon Interposition for Corrosive Stricture of Esophagus-Our Experience With 25 Patients

Colon interposition in the treatment of corrosive esophageal strictures: 100 patients in seven years

Contact Info

Product

Resources

About