Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | smbt, 25 mai 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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INTERPOZIŢIA COLICĂ ÎN RECONSTRUCŢIILE ESOFAGIENE (ESOFAGOCOLOPLASTIA)
R.M. Neagoe (1), Sala Daniela (1), D. Zamfir (1) , S. Bancu (1), L. Kiss (2)
1) Clinica Chirurgie II, Spitalul Clinic Judeţean de Urgenţă Mureş
2) Clinica Chirurgie I, Spitalul Clinic Judeţean de Urgenţă Sibiu
Jurnalul de chirurgie (Iaşi). 2013; 9(3): 225-233.
Full text: 
Format PDF (Română/Romanian)

Abstract:

BACKGROUND: The colon is considered, after the stomac, a well-functioning and durable esophageal substitute. For esophageal reconstruction, an isoperistaltic colon graft is preferable because the antiperistaltic reconstruction could be associated with significant functional anomalies. AIM: The purpose of this retrospective study is to investigate the feasibility of colon interposition procedures as surgical option for esophageal reconstruction. METHODS: Between 1997 and 2012, 40 consecutive patients underwent colon interposition in our surgical department. The main indications were caustic injury and cancer of the esophagus; we reviewed clinical and operative data, intensive care unit and histopathological protocols. RESULTS: There were 24 patients (60.0%) with caustic injuries of the esophagus, 13 patients with esophageal cancer (32.5%) and 3 patients with other esophageal pathologies (7.5%). Ileocolon grafts were the prefered method for interposition, with the left colon graft being used mainly as a „salvage” procedure. The retrosternal route was prefered in bypass procedures; the posterior mediastinal route was applied only after curative esophagectomies. We performed hand-sewn anastomosis in the neck in all cases. One patient required microvascular surgery. The overall postoperative morbidity rate was 57.5% (n=23); the most common complications were pulmonary complications, anastomotic leakage, colon graft necrosis and late cervical anastomosis stenoses. In hospital mortality was 7.5%. CONCLUSION: Despite the high rate of postoperative morbidity, the colon interposition is a feasible procedure for esophageal reconstruction.

KEY WORDS: ESOPHAGUS; CAUSTIC STENOSIS; ESOPHAGEAL CANCER; ESOPHAGEAL PERFORATION; COLON INTERPOSITION; ESOPHAGOCOLOPLASTY

SHORT TITLE: Esofagocoloplastia
                          Esophagocoloplasty

HOW TO CITE: Neagoe RM, Sala D, Zamfir D, Bancu S, Kiss L. [Colon interposition for esophageal reconstruction (esophagocoloplasty)] Jurnalul de chirurgie (Iaşi). 2013; 9(3): 225-233. DOI: 10.7438/1584-9341-9-3-4.



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Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.