Colon Interposition Grafting as An Esophageal Substitute for 108 Patients_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

XIESong-ping , KANGGan-jun , JIANGWen-yang , MAOZhi-fu ,  HUANGJie , CHENGBang-chang , LIANGJian , FUYin

Department of Thoracic Surgery, Renmin Hospital of Wuhan University, Wuhan 430060, P. R. China;

Corresponding?author：

HUANGJie, Email: doctor_huangjie@126.com

Keywords：

Esophageal Dieases; Colon; Reconstruction

DOI：

10.7507/1007-4848.20160194

Video：

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Objective To summarize the experience of colon interposition for esophageal replacement. Method The clinical data of 108 consecutive patients underwent colon interposition for esophageal replacement in our hospital between January 2005 and March 2013 were reviewed for benign and malignant lesions. Their ages ranged from 2 to 71 years (mean age at 34.3 years). There were 81 males and 27 females. Result There was no surgical death. Esophago-colic anastomotic insufficiency occurred in 7 patients. One case of graft necrosis was observed. Injury of recurrent laryngeal nerve occurred in 8 patients, incomplete intestinal obstruction in 2 patients, and wound infection of the abdominal wall in 1 patient, and deep venous thrombosis in 1 patient. In-hospital mortality was 15.7% (17/108). The postoperative follow-up was made for 12 months in 97 patients (91.5%) and all of them were alive. The patients' body weight and appetite improved. Conclusion Colon interposition is a valuable alternative with a good long-term function.

Citation： XIESong-ping, KANGGan-jun, JIANGWen-yang, MAOZhi-fu, HUANGJie, CHENGBang-chang, LIANGJian, FUYin. Colon Interposition Grafting as An Esophageal Substitute for 108 Patients. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2016, 23(8): 810-813. doi: 10.7507/1007-4848.20160194 Copy

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2.	Popovici Z. A new philosophy in esophageal reconstruction with colon. Thirty-years experience. Dis Esophagus, 2003, 16(4):323-327.
3.	Eze JC, Onyekwulu FA, Nwafor IA, et al. Right colon interposition in corrosive esophageal long segment stricture:our local experience. Niger J Clin Pract, 2014, 17(3):314-319.
4.	寇仁業, 鄒志強, 袁耒.結腸或胃代食管術治療食管腐蝕傷后瘢痕性狹窄.中國胸心血管外科臨床雜志, 2004, 11(1):74-75.
5.	Davis PA, Law S, Wong J. Colonic interposition after esophagectomy for cancer. Arch Surg, 2003, 138(3):303-308.
6.	Klink CD, Binnenb?sel M, Schneider M, et al. Operative outcome of colon interposition in the treatment of esophageal cancer:a 20-year experience. Surgery, 2010, 147(4):491-496.
7.	曾文慧, 代秀珍, 邱鳴.結腸代食管術的圍手術期護理.現代臨床護理, 2010, 9(7):35-37.
8.	程邦昌, 劉昔平, 毛志福, 等.不同腸道準備法對結腸代食管術并發癥的影響.中華實驗外科雜志, 2006, 23(4):619-621.
9.	程邦昌.結腸代食管重建術.中華胃腸外科雜志, 2014, 17(9):854-857.
10.	程邦昌, 涂仲凡, 毛志福, 等. 548例結腸代食管術的臨床經驗.武漢大學學報(醫學版), 2002, 23(4):359-361.
11.	Greene CL, DeMeester SR, Augustin F, et al. Long-term quality of life and alimentary satisfaction after esophagectomy with colon interposition. Ann Thorac Surg, 2014, 98(5):1713-1720.
12.	Cheng BC, Lu SQ, Cao SZ, et a1. Colon replacement for esophagus:clinical experience from 240 cases. Chin Med J, 1994, 107(3):216-218.
13.	程邦昌, 昌盛, 黃杰, 等.結腸代食管術中結腸血管結構的研究.中華醫學雜志, 2006, 86(21):1453-1456.
14.	Fürst H, Hartl WH, L?he F, et al. Colon interposition for esopha-geal replacement:an alternative technique based on the use of the right colon. Ann Surg, 2000, 231(2):173-178.
15.	康敢軍, 程邦昌, 黃杰, 等.結腸代食管術在老年人食管疾病中的應用.中華老年醫學雜志, 2007, 26(2):107-109.
16.	Knezevi? JD, Radovanovi? NS, Simi? AP, et al. Colon interposition in the treatment of esophageal caustic strictures:40 years of experience. Dis Esophagus, 2007, 20(6):530-534.
17.	程邦昌, 高尚志, 毛志福, 等.結腸代食管術治療兒童食管嚴重瘢痕狹窄.中華小兒外科雜志, 2004, 25(1):35-37.
18.	高尚志, 程邦昌, 涂仲凡, 等.提高結腸代食管術療效的經驗總結.中華胸心血管外科雜志, 2003, 19(6):38-340.

1. DeMeester SR. Colon interposition following esophagectomy. Dis Esophagus, 2001, 14 (3-4):169-172.
2. Popovici Z. A new philosophy in esophageal reconstruction with colon. Thirty-years experience. Dis Esophagus, 2003, 16(4):323-327.
3. Eze JC, Onyekwulu FA, Nwafor IA, et al. Right colon interposition in corrosive esophageal long segment stricture:our local experience. Niger J Clin Pract, 2014, 17(3):314-319.
4. 寇仁業, 鄒志強, 袁耒.結腸或胃代食管術治療食管腐蝕傷后瘢痕性狹窄.中國胸心血管外科臨床雜志, 2004, 11(1):74-75.
5. Davis PA, Law S, Wong J. Colonic interposition after esophagectomy for cancer. Arch Surg, 2003, 138(3):303-308.
6. Klink CD, Binnenb?sel M, Schneider M, et al. Operative outcome of colon interposition in the treatment of esophageal cancer:a 20-year experience. Surgery, 2010, 147(4):491-496.
7. 曾文慧, 代秀珍, 邱鳴.結腸代食管術的圍手術期護理.現代臨床護理, 2010, 9(7):35-37.
8. 程邦昌, 劉昔平, 毛志福, 等.不同腸道準備法對結腸代食管術并發癥的影響.中華實驗外科雜志, 2006, 23(4):619-621.
9. 程邦昌.結腸代食管重建術.中華胃腸外科雜志, 2014, 17(9):854-857.
10. 程邦昌, 涂仲凡, 毛志福, 等. 548例結腸代食管術的臨床經驗.武漢大學學報(醫學版), 2002, 23(4):359-361.
11. Greene CL, DeMeester SR, Augustin F, et al. Long-term quality of life and alimentary satisfaction after esophagectomy with colon interposition. Ann Thorac Surg, 2014, 98(5):1713-1720.
12. Cheng BC, Lu SQ, Cao SZ, et a1. Colon replacement for esophagus:clinical experience from 240 cases. Chin Med J, 1994, 107(3):216-218.
13. 程邦昌, 昌盛, 黃杰, 等.結腸代食管術中結腸血管結構的研究.中華醫學雜志, 2006, 86(21):1453-1456.
14. Fürst H, Hartl WH, L?he F, et al. Colon interposition for esopha-geal replacement:an alternative technique based on the use of the right colon. Ann Surg, 2000, 231(2):173-178.
15. 康敢軍, 程邦昌, 黃杰, 等.結腸代食管術在老年人食管疾病中的應用.中華老年醫學雜志, 2007, 26(2):107-109.
16. Knezevi? JD, Radovanovi? NS, Simi? AP, et al. Colon interposition in the treatment of esophageal caustic strictures:40 years of experience. Dis Esophagus, 2007, 20(6):530-534.
17. 程邦昌, 高尚志, 毛志福, 等.結腸代食管術治療兒童食管嚴重瘢痕狹窄.中華小兒外科雜志, 2004, 25(1):35-37.
18. 高尚志, 程邦昌, 涂仲凡, 等.提高結腸代食管術療效的經驗總結.中華胸心血管外科雜志, 2003, 19(6):38-340.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Colon Interposition Grafting as An Esophageal Substitute for 108 Patients

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