Functional and mechanical sequelae of colon interposition for benign oesophageal disease1

Jeyasingham, K.; Lerut, Toni; Belsey, Ronald

doi:10.1016/s1010-7940(99)00007-x

Cited by 48 publications

(54 citation statements)

References 13 publications

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“…30 However, the colon is not always suitable for esophageal replacement because of unfavorable congenital variations in the mesocolic vasculature or the presence of severe atheromatous lesions in supplying arteries, both conditions predisposing to graft necrosis. 31 Second, as shown by the review of Belsey's own series of colon interpositions for benign disease, 32 one third of patients may require a subsequent reoperation to treat late complications, such as graft redundancy in the chest or anastomotic stricture.…”

Section: Group 3 (N ‫؍‬ 42)mentioning

confidence: 99%

Denervated Stomach as an Esophageal Substitute Recovers Intraluminal Acidity With Time

Gutschow¹,

Collard²,

Romagnoli³

et al. 2001

Annals of Surgery

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ObjectiveTo determine whether the denervated stomach as an esophageal substitute recovers normal intraluminal acidity with time. Summary Background DataBilateral truncal vagotomy to the stomach as an esophageal substitute reduces both gastric acid production and antral motility, but a spontaneous motor recovery process takes place over years. MethodsIntraluminal gastric pH and bile were monitored during a 24-hour period 1 to 195 months after transthoracic elevation of the stomach as esophageal replacement in 91 and 76 patients, respectively. Nine patients underwent a second gastric pH monitoring after a 3-year period. The percentages of time that the gastric pH was less than 2 and bile absorbance exceeded 0.25 were calculated in reference to values from 25 healthy volunteers. Eighty-nine upper gastrointestinal endoscopies were performed in 83 patients. Patients were divided into three groups depending on length of follow-up: group 1, less than 1 year; group 2, 1 to 3 years; group 3, more than 3 years.

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Section: Group 3 (N ‫؍‬ 42)mentioning

confidence: 99%

Denervated Stomach as an Esophageal Substitute Recovers Intraluminal Acidity With Time

Gutschow¹,

Collard²,

Romagnoli³

et al. 2001

Annals of Surgery

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“…Redundancy of colon graft leads to food and liquid retention in the redundant graft, regurgitation, and an increased risk of nocturnal aspiration. Clinical symptoms of redundancy includes dysphagia, retrosternal fullness, regurgitation, chest pain, aspiration pneumonia and cervical bulging [15,16]. The intensity of symptomatology is correlated to the importance of colon dilation.…”

Section: Discussionmentioning

confidence: 99%

“…As suggested by authors, the excess length of colon graft favors the development of interposed graft redundancy. [2,10,15,16]. The length of the colon graft is usually significantly greater than the length of its vascular pedicle which conditions the graft ascension to the neck.…”

Section: Discussionmentioning

confidence: 99%

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Surgical Management of Graft Redundancy after Colon Interposition for Esophageal Reconstruction

Boukerrouche¹

2017

Med Clin Rev

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Colon graft redundancy is the most common late complication after colon interposition for esophageal re construction. Redundancy leads to mechanical dysfunction of the interposed colon and may occur several decades after initial reconstructive surgery. Food and liquid retention in the redundant colon causes disabling symptoms and nutritional disorders. When lifestyle modifications fail, surgical correction is indicated to improve life quality and to prevent complication. We describe two cases of interposed colon graft redundancy which were surgically treated with a successful surgical technique to correct this complication.

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“…Both of them were successfully resected, and a new cologastrotomy was created. In a more recent series, Jeyasingham et al [17] reported that 3 out of 365 patients who underwent colon interpositions for benign esophageal disease developed adenocarcinoma 14-17 years after the original surgery.…”

Section: Discussionmentioning

confidence: 99%

Adenocarcinoma from Esophageal Clonic Interposition

Lin¹,

Lin²

2008

Chir Gastroenterol

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Background: Colon interposition has become the gold standard for treating patients with congenital or acquired, benign or malignant esophageal strictures. However, a variety of late complications have been reported, including anastomotic leak, anastomotic stricture, gastro-colic reflux, and colon-graft stricture. Case Report: We here reported the case of 74-year-old female who was admitted to our hospital due to the serious dysphagia for 2 months and apparent loss of weight. The patient had undergone esophageal reconstruction using colonic interposition for esophageal malignancy at the age of 41. As proven by histopathology, the patient presented with the rare complication of an adenocarcinoma developing in the graft. Conclusions: The new onset of dysphagia after surgery is likely to be due to the recurrent malignancy. We review the actual literature concerning complications of colon interposition and discuss the postoperative morbidity as a cause of recurrent dysphagia or other symptoms.

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Functional and mechanical sequelae of colon interposition for benign oesophageal disease1

Abstract: Although the patients with short segment colon interposition developed predominantly avoidable iatrogenic complications, those undergoing long segment colon interposition developed functional sequelae requiring re-operations in later life.

Cited by 48 publications

References 13 publications

Denervated Stomach as an Esophageal Substitute Recovers Intraluminal Acidity With Time

Denervated Stomach as an Esophageal Substitute Recovers Intraluminal Acidity With Time

Surgical Management of Graft Redundancy after Colon Interposition for Esophageal Reconstruction

Adenocarcinoma from Esophageal Clonic Interposition

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