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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Abstract Full text Figures/Tables Video References Cited by

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.	寇仁业, 邹志强, 袁耒.结肠或胃代食管术治疗食管腐蚀伤后瘢痕性狭窄.中国胸心血管外科临床杂志, 2004, 11(1):74-75.
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6.	Klink CD, Binnenbösel 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, 邱鸣.结肠代食管术的围手术期护理.现代临床护理, 2010, 9(7):35-37.
8.	程邦昌, 刘昔平, 毛志福, 等.不同肠道准备法对结肠代食管术并发症的影响.中华实验外科杂志, 2006, 23(4):619-621.
9.	程邦昌.结肠代食管重建术.中华胃肠外科杂志, 2014, 17(9):854-857.
10.	程邦昌, 涂仲凡, 毛志福, 等. 548例结肠代食管术的临床经验.武汉大学学报(医学版), 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, 黄杰, 等.结肠代食管术中结肠血管结构的研究.中华医学杂志, 2006, 86(21):1453-1456.
14.	Fürst H, Hartl WH, Löhe 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.	康敢军, 程邦昌, 黄杰, 等.结肠代食管术在老年人食管疾病中的应用.中华老年医学杂志, 2007, 26(2):107-109.
16.	Knezević JD, Radovanović NS, Simić 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.结肠代食管术治疗儿童食管严重瘢痕狭窄.中华小儿外科杂志, 2004, 25(1):35-37.
18.	高尚志, 程邦昌, 涂仲凡, 等.提高结肠代食管术疗效的经验总结.中华胸心血管外科杂志, 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. 寇仁业, 邹志强, 袁耒.结肠或胃代食管术治疗食管腐蚀伤后瘢痕性狭窄.中国胸心血管外科临床杂志, 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, Binnenbösel 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, 邱鸣.结肠代食管术的围手术期护理.现代临床护理, 2010, 9(7):35-37.
8. 程邦昌, 刘昔平, 毛志福, 等.不同肠道准备法对结肠代食管术并发症的影响.中华实验外科杂志, 2006, 23(4):619-621.
9. 程邦昌.结肠代食管重建术.中华胃肠外科杂志, 2014, 17(9):854-857.
10. 程邦昌, 涂仲凡, 毛志福, 等. 548例结肠代食管术的临床经验.武汉大学学报(医学版), 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, 黄杰, 等.结肠代食管术中结肠血管结构的研究.中华医学杂志, 2006, 86(21):1453-1456.
14. Fürst H, Hartl WH, Löhe 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. 康敢军, 程邦昌, 黄杰, 等.结肠代食管术在老年人食管疾病中的应用.中华老年医学杂志, 2007, 26(2):107-109.
16. Knezević JD, Radovanović NS, Simić 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.结肠代食管术治疗儿童食管严重瘢痕狭窄.中华小儿外科杂志, 2004, 25(1):35-37.
18. 高尚志, 程邦昌, 涂仲凡, 等.提高结肠代食管术疗效的经验总结.中华胸心血管外科杂志, 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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