Ileocolon Interposition Graft Following Surgery for Gastro-esophageal Junction Adenocarcinoma
- 51 Downloads
The stomach remains the most preferred esophageal substitute following esophagectomy for cancer . However in circumstances where the stomach is not available due to involvement by the cancer, such as in our patient, or due to prior surgery, a few other options are still available. While the jejunum is suitable to reconstruct total gastrectomy and distal esophagectomy at or below the level of pulmonary hilum, its use when more of esophagus is resected is complicated by the need for micro vascular reconstructive surgery . In such a scenario, the colonic conduit is the preferred substitute because of its consistent blood supply, long length and acid resistance . Traditionally, the left colonic graft is more often used, but there is an increasing trend towards using right sided colonic or ileo-colonic conduits. We present a report wherein an ileo-colon interposition graft based on middle colic artery was used to reconstruct the Gastro-Intestinal tract following...
KeywordsDistal Esophagus Middle Colic Artery Colon Interposition Esophageal Reconstruction Ileocolic Artery
(MP4 6138 kb)
- 2.Alexander Patterson, Joel D Cooper, Jean Deslauriers, Antoon EMR Lerut, James D Luketich, Thoma W.Rice (2008) Colon Interposion. Scott Scheidt (ed) Pearson’s thoracic and esophageal surgery, Volume 2 esophageal, Churchill Livingstone Elsevier, Philadelphia, pp 557–631Google Scholar
- 10.Attia A, El-shazly S, El-shafiey M, Zaher A (2004) Ileocecal interpositional graft for gastric replacement after total gastrectomy. J Egypt Natl Cancer Inst 16:43–49Google Scholar
- 12.Strutynska-Karpinska M, Grabowski K, Błaszczuk J, Markocka-Mączka K, Taboła R, Sliwa B (2009) Postoperative complications of various types of esophagoplasty. Gastroenterol Pol 16(2):109–113Google Scholar