Adenocarcinoma arising in a colonic interposition following resection of squamous cell esophageal cancer

Abstract

This article documents the first case of adenocarcinoma arising in a colonic interposition that was performed after resection of squamous cell esophageal cancer. In long-term survivors of esophageal cancer surgery, this unusual complication must be considered as a cause of recurrent dysphagia or other symptoms.

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

“…This case serves as a reminder of the importance of colon interposition screening. Furthermore, in the review of literature (Table 1) [14,[21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38]], 15 out of 22 patients have developed adenocarcinoma in the grafted interposed colon. This could have been prevented if the patients had regular EGD screening or surveillance follow-up.…”

Dysphagia after Colon Interposition Graft for Esophageal Carcinoma

“…Barium esophagography has the advantage of providing functional evaluation of the graft and integrity of the conduit anastomosis. However, radiographic evaluations and interpretations of the interposed colon may be difficult if there is unfamiliarity with the various surgical procedures and the postoperative appearances [10, 11]. …”

Adenocarcinoma arising in an oesophageal colonic interposition graft

“…To our knowledge only four cases have been reported previously (Table I). In both cases where the patients died from disseminated tumour there was some delay in the diagnosis as initial contrast studies of the grafts failed to demonstrate the tumours and the diagnosis was only established later when endoscopies were performed (Licata et al, 1978;Haerr et al, 1987). In the other two cases the tumours were successfully resected and further reconstructions were achieved with gastric interposition (Houghton et al, 1989) and the creation of a new cologastrostomy (Goldsmith and Beattie, 1968).…”

“…The late development of dysphagia in a patient with a colonic interposition graft should always be taken seriously and thoroughly investigated. Contrast studies of colonic grafts can be difficult to interpret due to altered anatomy (Licata et al, 1978;Haerr et al, 1987). Endoscopy and biopsy should therefore be considered early.…”