Qiuqiang Chen1, Weimin Mao2, Huanming Yu1, Yixian Liang1, Jiane Wang1, Guoping Chen3. 1. Department of Thoracic Surgery, The First Hospital Affiliated to Huzhou University School of Medicine, Huzhou, Zhejiang, China. 2. Department of Thoracic Surgery, Zhejiang Provincial Cancer Hospital, Hangzhou, Zhejiang, China. 3. Department of Thoracic Surgery, Zhejiang Hospital, Hangzhou, Zhejiang, China.
Abstract
BACKGROUND: Esophageal reconstruction with colon interposition is an alternative solution for the esophageal cancer patients who have partial gastrectomy. The aim of this study was to investigate the therapeutic effects of colon interposition among the esophageal carcinoma patients with partial gastrectomy. MATERIALS AND METHODS: Under institutional review board approval, 32 esophageal carcinoma patients with a history of partial gastrectomy were included in this study. All the patients had been diagnosed and confirmed squamous cell carcinoma, adenocarcinoma, or adenosquamous carcinoma by histopathological examination. Surgical approaches, complications and therapeutic results were analyzed in the current study. RESULTS: Thirty-two esophageal carcinoma patients (29 men, 3 women, median age 63.2 years) were included in this study. Isoperistaltic colon interposition was carried out on 14 patients; their 1-year and 2-year survival rate was 92.9% and 78.6%, respectively. Antiperistaltic colon interposition was carried out on 18 patients; their 1-year and 2-year survival rate was 88.9% and 77.8%, respectively. In which, cervical anastomotic leakage was observed on six patients. CONCLUSION: Colon interposition is an ideal surgical approach for the esophageal carcinoma patients who had partial gastrectomy. Isoperistaltic colon interposition is preferred, but antiperistaltic colon interposition has the advantage that a longer colon can be used.
BACKGROUND: Esophageal reconstruction with colon interposition is an alternative solution for the esophageal cancerpatients who have partial gastrectomy. The aim of this study was to investigate the therapeutic effects of colon interposition among the esophageal carcinomapatients with partial gastrectomy. MATERIALS AND METHODS: Under institutional review board approval, 32 esophageal carcinomapatients with a history of partial gastrectomy were included in this study. All the patients had been diagnosed and confirmed squamous cell carcinoma, adenocarcinoma, or adenosquamous carcinoma by histopathological examination. Surgical approaches, complications and therapeutic results were analyzed in the current study. RESULTS: Thirty-two esophageal carcinomapatients (29 men, 3 women, median age 63.2 years) were included in this study. Isoperistaltic colon interposition was carried out on 14 patients; their 1-year and 2-year survival rate was 92.9% and 78.6%, respectively. Antiperistaltic colon interposition was carried out on 18 patients; their 1-year and 2-year survival rate was 88.9% and 77.8%, respectively. In which, cervical anastomotic leakage was observed on six patients. CONCLUSION: Colon interposition is an ideal surgical approach for the esophageal carcinomapatients who had partial gastrectomy. Isoperistaltic colon interposition is preferred, but antiperistaltic colon interposition has the advantage that a longer colon can be used.
Authors: Jade Brown; Wyn G Lewis; Antonio Foliaki; Geoffrey W B Clark; Guy R J C Blackshaw; David S Y Chan Journal: J Gastrointest Surg Date: 2018-03-08 Impact factor: 3.452