scholarly journals Dysphagia after Colon Interposition Graft for Esophageal Carcinoma

2012 ◽  
Vol 2012 ◽  
pp. 1-5
Author(s):  
C. Spitali ◽  
K. De Vogelaere ◽  
G. Delvaux

Colon interposition is an established technique for esophageal reconstruction. We describe the case of primary adenocarcinoma arising in a colonic interposition graft that was performed after total esophagectomy for recurrence adenocarcinoma derived from the Barrett esophagus.

2018 ◽  
Vol 06 (12) ◽  
pp. E1406-E1409 ◽  
Author(s):  
Diogo De Moura ◽  
Igor Ribeiro ◽  
Martin Coronel ◽  
Eduardo De Moura ◽  
Joana Carvalho ◽  
...  

Abstract Background and study aims Colon interposition for benign strictures is associated with significant perioperative complications that carry high morbidity and mortality. Although rarely reported in the literature, adenocarcinoma can occur as a late complication in an interposed colonic segment. We report a case of a late-stage adenocarcinoma in a colonic interposition performed for benign esophageal stricture.


2017 ◽  
Vol 63 (1) ◽  
pp. 146-152
Author(s):  
Mikhail Ter-ovanesov ◽  
Aleksandr Levitskiy ◽  
E. Lesnidze ◽  
Aram Gaboyan ◽  
Mariya Kukosh ◽  
...  

In the current oncological practice surgical treatment of gastroesophageal cancer with high involvement of the esophagus can extend to total esophago-gastrectomy with colonic interposition as the main method of radical treatment. However the technical complexity and high risk of the intervention are factors in determining the divergent views on the operation itself, testimony for the criteria of patient’s selection, choice of surgical access and the formation of a colonic graft in conjunction with method of esophageal reconstruction. The long-term results of operative intervention depend primarily on the extent of tumor process but obviously higher than after conservative treatment. This article presents a brief critical overview of the main aspects of the simultaneous application of esophago-gastrectomy in surgery of gastroesophageal cancer with high esophageal involvement and our clinical case of successful surgical treatment of a woman with pregnancy-associated gastroesophageal cancer.


2017 ◽  
Vol 06 (01) ◽  
pp. e22-e24
Author(s):  
Abdulwahab Al Khalifa ◽  
William McMaster ◽  
Colin Schieman ◽  
Richard Whitlock ◽  
Christopher Ricci ◽  
...  

AbstractColonic interposition grafts are commonly used as an esophageal conduit following esophageal resection. Significant morbidity is associated with this reconstruction due to the nature of the operation. Many of the complications associated with this procedure have clear management strategies; however, there is a paucity of data when it comes to managing rare complications. In this report, we discuss the presentation, operative intervention, and postoperative care of a patient who presented with a left ventricle to esophageal colonic interposition graft fistula.


2013 ◽  
Vol 9 (3) ◽  
pp. 225-233
Author(s):  
R.M. Neagoe R.M. Neagoe ◽  
Daniela Sala ◽  
D. Zamfir ◽  
S. Bancu ◽  
L. Kiss

2018 ◽  
Vol 103 (5-6) ◽  
pp. 238-247
Author(s):  
Martin H. Hangaard ◽  
Michael B. Mortensen

Objective: The aim of this study was to report our experience with colon interposition (COI) and to compare the results with an extensive review of the COI literature. Summary of Background Data: The stomach is the first choice as an esophageal substitute following esophagectomy in cancer patients, while COI is reserved for patients where the stomach is not available or must be included in the resection due to cancer. Methods: We retrospectively reviewed the records of cancer patients undergoing colon interposition from 2006 to 2017. Outcomes were compared with an extensive review of the literature published between 2000 and 2017. Results: A total of 13 patients underwent planned COI. Mortality was zero and overall morbidity was 53%; 4 patients suffered from leakage and 2 patients from strictures. None of the patients suffered from necrosis of the interponat and there was no need for subsequent redundancy operations. The extensive review identified 23 publications. Overall study grading was low (grade C). Only 3 studies were prospective, no randomized studies were found, and many outcomes were poorly defined. The rates for 30-day and in-hospital mortality were 1% and 2%, respectively. Overall morbidity was 43%. The reported number of leakages, strictures, necrosis of the interponat, and redundancy operations varied between 0% and 50%, 0% and 21%, 0% and 9%, and 0% and 2%, respectively. Conclusions: COI is a complex technique that is necessary in a relatively small group of selected patients after esophagectomy for cancer. Prospective and comparative studies with strict outcome definitions, long-term follow up, and patient reported outcome measures are lacking.


1996 ◽  
Vol 8 (4) ◽  
pp. 291-294
Author(s):  
Jinliang Xu ◽  
Lingfang Shao ◽  
Zongren Gao ◽  
Gongquan Wei ◽  
Mingyao Chen ◽  
...  

1999 ◽  
Vol 178 (3) ◽  
pp. 263-266 ◽  
Author(s):  
Maki Murakami ◽  
Atsushi Sugiyama ◽  
Toshihiko Ikegami ◽  
Hiroko Aruga ◽  
Keiji Matsushita ◽  
...  

2010 ◽  
Vol 25 (9) ◽  
pp. 1147-1148 ◽  
Author(s):  
Rizwan Attia ◽  
Ashish Rohatgi ◽  
Marco Scarci ◽  
Ahmad Hamouda ◽  
Abrie J. Botha

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