Long-Term Quality of Life and Alimentary Satisfaction After Esophagectomy With Colon Interposition

Greene, Christina L.; DeMeester, Steven R.; Augustin, Florian; Worrell, Stephanie G.; Oh, Daniel S.; Hagen, Jeffrey A.; DeMeester, Tom R.

doi:10.1016/j.athoracsur.2014.06.088

Cited by 57 publications

(30 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In the literature, the reported quality of life after colon interposition is usually good (3,14,37,(69)(70)(71). Though gastric pull-up after esophagectomy has been reported to have good results, the main complication in the long term is the presence of biliary reflux and secondary reflux disease in the conduit (7,72).…”

Section: Discussionmentioning

confidence: 99%

European perspective in Thoracic surgery—eso-coloplasty: when and how?

Gust

Ouattara

Coosemans³

et al. 2016

J. Thorac. Dis.

View full text Add to dashboard Cite

Colon interposition has been used since the beginning of the 20(th) century as a substitute for esophageal replacement. Colon interposition is mainly chosen as a second line treatment when the stomach cannot be used, when the stomach has to be resected for oncological or technical reasons, or when the stomach is deliberately kept intact for benign diseases in young patients with long-life expectancy. During the surgery the vascularization of the colon must be carefully assessed, as well as the type of the graft (right or left colon), the length of the graft, the surgical approach and the route of the reconstruction. Early complications such as graft necrosis or anastomotic leaks, and late complications such as redundancy depend on the quality of the initial surgery. Despite a complex and time-consuming procedure requiring at least three or four digestive anastomoses, reported long term functional outcomes of colon interposition are good, with an acceptable operative risk. Thus, in very selected indications, colon interposition could be seen as a valuable alternative for esophageal replacement when stomach cannot be considered. This review aims at briefly defining "when" and "how" to perform a coloplasty through demonstrative videos.

show abstract

Section: Discussionmentioning

confidence: 99%

European perspective in Thoracic surgery—eso-coloplasty: when and how?

Gust

Ouattara

Coosemans³

et al. 2016

J. Thorac. Dis.

View full text Add to dashboard Cite

show abstract

“…The most of them lose weight, but eventually stabilize at a new level that will not compromise your health, usually around 90% of preoperative weight 6,11,29 . Yasuda et al 30 .…”

Section: Discussion Discussion Discussion Discussion Discussionmentioning

confidence: 99%

“…Mechanical preparation of the colon in the immediate preoperative period consisted of liquid diet and osmotic laxatives. The surgical technique used was described in the literature [10][11][12] .…”

Section: Methods Methods Methods Methodsmentioning

confidence: 99%

“…The indications of total esophagogastrectomy are limited to certain conditions, particularly in radical resection of large tumors of the esophagogastric junction (EGJ) invading both viscera, esophageal tumors in patients with previous gastrectomy, severe caustic esophageal lesions with irreversible loss and stomach and congenital esophageal atresia 7 . Therefore, considering the rarity of conditions that require total esophagogastrectomy, such procedure is the absolute minority of resection surgeries performed in the esophagus and / or stomach, and few institutions had experience with this type of operation [8][9][10][11] . The aim of this study is t t t t to analyse the indications and results of the total esophagogastrectomy in cancers of the distal esophagus and esophagogastric junction.…”

Section: Introduction Introduction Introduction Introduction Introducmentioning

confidence: 99%

See 1 more Smart Citation

Total esophagogastrectomy in the neoplasms of the esophagus and esofagogastric junction: when must be indicated?

Andreollo

Neto

Calomeni

et al. 2015

Rev. Col. Bras. Cir.

View full text Add to dashboard Cite

Objective: to analyse the indications and results of the total esophagogastrectomy in cancers of the distal esophagus and esophagogastric junction. Methods: twenty patients with adenocarcinomas were operated with a mean age of 55 ± 9.9 years (31-70 years), and 14 cases were male (60%). Indications were 18 tumors of the distal esophagus and esophagogastric junction (90%) and two with invasion of gastric fundus (10%) in patients with previous gastrectomy. Preoperative colonoscopy to exclude colonic diseases was performed in ten cases. Results: the surgical technique consisted of median laparotomy and left cervicotomy, followed by transhiatal esophagectomy associated with D2 lymphadenectomy. The reconstructions were performed with eight esophagocoloduodenoplasty and the others were Roux-en-Y esophagocolojejunoplasty to prevent the alkaline reflux. Three cases were stage I / II, while 15 cases (85%) were stages III / IV, reflecting late diagnosis of these tumors. The operative mortality was 5 patients (25%): a mediastinitis secondary to necrosis of the transposed colon, abdominal cellulitis secondary to wound infection, severe pneumonia, an irreversible shock and sepsis associated with colojejunal fistula. Four patients died in the first year after surgery: 3 (15%) were due to tumor recurrence and 1 (5%) secondary to bronchopneumonia. The 5-year survival was 15%. Conclusion: the total esophagogastrectomy associated with esophagocoloplasty has high morbidity and mortality, requiring precise indication, and properly selected patients benefit from the surgery, with the risk-benefit acceptable, contributing to increased survival and improved quality of life

show abstract

“…In addition, the recent improvement in the surgical outcomes using the colonic interposition technique that preserves the stomach [19,20] might increase the chances of using a colonic conduit for reconstruction. Therefore, the incidence of CRC is a substantial concern for surgeons and esophageal cancer patients.…”

mentioning

confidence: 98%