Colon interposition for benign esophageal disease

Glasgow, J. C.; Cannon, Jay P.; Elkins, Ronald C.

doi:10.1016/0002-9610(79)90139-9

Cited by 22 publications

(1 citation statement)

References 21 publications

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“…9 However, comparison of our results to those of other studies that used the midcolon as an esophageal substitute is limited because of differences in patients, in type of surgery or in time period in which the data were generated. [15][16][17][18][19][20]…”

Section: Discussionmentioning

confidence: 99%

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

Sharma

Pancholi

2019

Int Surg J

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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.

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