Quality of life after colon interposition by necessity for esophageal cancer replacement

Cense, Huib A.; Visser, Margreet; Sandick, Johanna W. van; Boer, Angela G. E. M. de; Lamme, Bas; Obertop, H.; Lanschot, J. Jan B. van

doi:10.1002/jso.20132

Cited by 64 publications

(31 citation statements)

References 29 publications

(35 reference statements)

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“…The reasons for the increase in colonic reconstruction are that the prognosis of patients with gastric cancer has been improving and the incidence of secondary cancer of the esophagus has been increasing. Colonic interposition is a very useful technique that has gained wide acceptance in esophageal reconstruction for postgastrectomy patients [1][2][3][4][5][6]. The improvement in microsurgical techniques and availability of high-quality equipment has improved the safety of this technique [8][9][10][11].…”

Section: Discussionmentioning

confidence: 99%

“…However, it has been reported that colonic interposition with preservation of not only the stomach but also the vagus is desirable as it enhances postoperative weight gain and results in fewer postoperative complications, including heartburn, dumping syndrome, etc. [1][2][3][4][5]. Some investigators have reported that even in cases in which preservation of the vagus nerve was not possible, reconstruction with the colon while preserving the stomach allowed higher caloric intake and better weight gain after surgery [6].…”

Section: Introductionmentioning

confidence: 99%

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Colonic interposition and supercharge for esophageal reconstruction

Shirakawa

Naomoto

Noma

et al. 2006

Langenbecks Arch Surg

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Colonic interposition and supercharge for esophageal reconstruction

Shirakawa

Naomoto

Noma

et al. 2006

Langenbecks Arch Surg

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“…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%

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.

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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

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“…Therefore from an experimental functional point of view, the isoperistaltic reconstruction should be considered more suitable. In the literature, as shown in Table 2, the peristaltic reconstruction is performed as a standard procedure at most institutions, 7,13,15,[17][18][19][20]25,26,[37][38][39][40][41] and only two reports by Isolauri et al 12 and Klink et al 30 used the antiperistaltic orientation more often than the peristaltic. Isolauri et al reported that there were no differences between isoperistaltic and antiperistaltic grafts observed in the radionuclide transit time, 42 while Neville and Najem described that eight adults with antiperistaltic segments complained for varying periods of diffi culty in swallowing and of acid regurgitation in the prone position.…”

Section: Use Of the Isoperistaltic Or Antiperistaltic Orientationmentioning

confidence: 99%

Esophageal reconstruction with colon tissue

Yasuda

Shiozaki

2011

Surg Today

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The present best practice for performing esophageal reconstruction using colon tissue was investigated in this review. The left colon has advantages in that it has less variation in blood supply and a smaller diameter than the right colon; however, the rate of graft necrosis is higher for the left colon. Additional microvascular anastomosis, which is unnecessary in most cases, may be able to resolve these issues. The colon graft should be reconstructed in an isoperistaltic fashion whenever possible in order to prevent regurgitation and improve food transit. The posterior mediastinum has the advantage of being the shortest route, but it also has the major disadvantage that graft necrosis can be severe or fatal if it occurs. In palliative or advanced cases, a retrosternal or subcutaneous route is preferred, because the posterior mediastinum is a tumor bed. However, in these cases partial excision of the manubrium and the left clavicula should be considered to release compression of the graft at the thoracic inlet. Consequently, the selection of the colon graft should be flexible and be based on the inspection of blood supply and the length needed, and thereafter microvessel anastomosis should be added in cases where graft ischemia might occur.

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Quality of life after colon interposition by necessity for esophageal cancer replacement

Cited by 64 publications

References 29 publications

Colonic interposition and supercharge for esophageal reconstruction

Colonic interposition and supercharge for esophageal reconstruction

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

Esophageal reconstruction with colon tissue

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