Surgical Outcome of Colon Interposition in Esophageal Cancer Surgery: Analysis of Risk Factors for Conduit-Related Morbidity

Lee, Kanghoon; Kim, Hyeong Ryul; Park, Seung-Il; Kim, Dong Kwan; Kim, Yong Hee; Choi, Se Hoon

doi:10.1055/s-0037-1606828

Cited by 18 publications

(9 citation statements)

References 16 publications

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“…Colon interposition was first introduced in 1911 as a substitute for gastric pull-up surgery for cases in which esophagectomy was required but the stomach could not be used due to prior stomach surgery or combined tumor infiltration in the stomach. Lee et al analyzed 1,011 Korean cases from June 2000 to June 2013 [3]; in their study, 67 patients underwent colon interposition and 944 patients underwent gastric pull-up surgery, and there was no statistically significant difference between the 2 groups regarding postoperative complications such as anastomosis site leakage, stricture, and fistula. The authors thus concluded that colon interposition is a reasonable alternative for gastric pull-up.…”

Section: Discussionmentioning

confidence: 99%

Colonic Intramucosal Cancer in the Interposed Colon Treated with Endoscopic Mucosal Resection: A Case Report and Review of Literature

et al. 2019

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Colon interposition is a surgical procedure used for maintenance of luminal conduit after esophagectomy. Although epithelial neoplasia, such as adenoma and adenocarcinoma, may develop in the interposed colon, there are only few case reports on the condition. Due to the rarity of this condition, there is no definite consensus on recommending screening endoscopy for the early detection of neoplasia in the interposed colons. Here, we report a case of intramucosal adenocarcinoma in an interposed colon. Initial endoscopic resection for this tumor failed to accomplish complete resection. A subsequent endoscopic resection was performed 1 month later and complete resection was achieved. Based on our experience and recommendation on screening endoscopy for gastric cancer in Korea, we suggest that regular screening esophagogastroduodenoscopies should be performed following esophagectomy to detect early neoplasia in the stomach and interposed colon and avoid adverse results induced by delayed detection.

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Section: Discussionmentioning

confidence: 99%

Colonic Intramucosal Cancer in the Interposed Colon Treated with Endoscopic Mucosal Resection: A Case Report and Review of Literature

et al. 2019

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“…Reconstruction using the colon or jejunum should be performed after total gastrectomy [ 9 ]. Actually, colonic or jejunal reconstruction may be associated with higher morbidity and mortality rates than a gastric conduit [ 10 – 13 ]. Shimada et al [ 5 ] reported that the use of a colon substitution in patients with remnant stomach was a significant independent risk factor for poor 5-year OS rates compared with gastric substitution.…”

Section: Case Presentationmentioning

confidence: 99%

A case of Barrett’s esophageal cancer with gastric mucosa-associated lymphoma

et al. 2020

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Background: Although the first-line therapy for early-stage gastric mucosa-associated lymphoid tissue lymphoma is the eradication of Helicobacter pylori, the effect of eradication in Helicobacter pylori-negative cases is unclear. In this case report, we describe a surgical option for a case of Barrett's esophageal cancer with concurrent gastric mucosaassociated lymphoid tissue lymphoma. Case presentation: A 79-year-old man was admitted to our hospital with Barrett's esophageal cancer and gastric mucosa-associated lymphoid tissue lymphoma. Initially, we performed endoscopic submucosal dissection for Barrett's esophageal cancer. Since residual tumor was observed after the endoscopic submucosal dissection, we performed an esophagectomy with two-field lymph node dissection, which was followed by placement of a gastric conduit via the posterior mediastinal route. He was discharged 14 days after surgery. Although no additional treatment exists for mucosa-associated lymphoid tissue lymphoma, no recurrent disease has been detected to date. Conclusion: An option to use a portion of the stomach with low-grade malignant mucosa-associated lymphoid tissue lymphoma as a conduit after esophagectomy was suggested.

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“…Colon interposition refers to the application of the colon as an esophageal graft in esophageal and cardiac cancer surgery (1,2). Colon transplantation is the preferred method after tubular stomach for double primary carcinoma of esophagus and cardia, double primary carcinoma of esophagus and stomach, esophageal cancer after subtotal gastrectomy, and tubular stomach necrosis after replacement (3)(4)(5). Compared to the stomach and jejunum, the colon has regular contraction and can provide sufficient length as a graft (6).…”

Section: Introductionmentioning

confidence: 99%

Distal-continual colon interposition for esophageal reconstruction after esophagectomy: Two case reports

Guo

Zhao

et al. 2023

Front. Surg.

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BackgroundColon interposition is a complex and time-consuming procedure requiring at least three or four digestive anastomoses. However, the long-term functional outcomes are promising, with an acceptable operative risk.Case presentationHerein, two cases of esophageal carcinoma that received esophagus reconstruction using the distal continual colon interposition technique have been described. The transverse colon was lifted to the thoracic cavity for the end-to-side anastomosis with the esophagus, and a closure device was used to close the colon instead of severing and isolating the distal end. The duration of the operation was 140 and 150 min, respectively. The blood supply of the colon was maintained during the intervention. The tension-free anastomosis was performed without severe complications, and oral food intake was resumed on postoperative day 6. Neither anastomotic stenosis, antiacid or heartburn, dysphagia, or emptying obstacles nor complaints of diarrhea, bloating, or malodor were reported during the follow-up period.ConclusionsThe modified distal-continual colon interposition technique may have the advantages of a short operation time and potential prevention of serious complications caused by the torsion of mesocolon vessels.

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Surgical Outcome of Colon Interposition in Esophageal Cancer Surgery: Analysis of Risk Factors for Conduit-Related Morbidity

Abstract: Colon interposition is associated with relatively high complication rates, whereas nCRT is associated with conduit morbidity.

Cited by 18 publications

References 16 publications

Colonic Intramucosal Cancer in the Interposed Colon Treated with Endoscopic Mucosal Resection: A Case Report and Review of Literature

Colonic Intramucosal Cancer in the Interposed Colon Treated with Endoscopic Mucosal Resection: A Case Report and Review of Literature

A case of Barrett’s esophageal cancer with gastric mucosa-associated lymphoma

Distal-continual colon interposition for esophageal reconstruction after esophagectomy: Two case reports

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