Background
In patients with esophageal cancer and a history of gastric surgery, colonic interposition
is the treatment of choice. Our aim was to review our experience with this technique
and to identify possible predictors of the clinical outcome.
Methods
Between 1986 and 2006, 43 patients underwent esophageal reconstruction accomplished
by colon interposition in our surgical department. Data from these patients were collected
consecutively and reviewed retrospectively.
Results
Colon interposition was performed isoperistaltically in 15 patients and was performed
in 28 patients anisoperistaltically. In 18 patients, the right colon was used for
interposition, whereas in 25 patients, the left colon was used. The mean survival
time was 23±29 months. Artificial ventilation more than 24 h, tumor differentiation grade III, the presence of major complications, and the presence
of multivisceral resection had a significant negative influence on the operative outcome
of colon interposition for esophageal replacement.
Conclusion
Colon interposition for esophageal replacement provides a satisfactory operative outcome
with high complication rates. Therefore, it should be reserved as a treatment of second
choice for cases in which the stomach is not available.
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Article info
Publication history
Published online: December 11, 2009
Accepted:
October 12,
2009
Identification
Copyright
© 2010 Published by Elsevier Inc. All rights reserved.
