title: [Colo-pyloric anastomosis with pyloroplasty in esophagoplasty].
abstract: A procedure is presented, allowing to include the stomach in the intestinal pathway in cases of oesophagoplasties, preventing at the same time the development of anastomotic peptic ulcers. A colo-pyloric anastomosis is performed with the aboral stump of the elevated colic loop. The colic end is anastomosed terminoterminally to the pylorus, in such a way that a 6--7 cm pylorotomy is performed. The pyloric function is suppressed and the evacuation of the stomach's contents into the duodenum is facilitated. The reflux of the alkaline duodenal fluid is also possible, into the antrum. The duodenum, the antrum, and the aboral part of the elevated colic loop constitute a sort of "cloaca" inside which the acidic gastric secretion is neutralized, partially by the salivary fluid and on the other hand by the duodenal reflux. To such a type of anastomosis vagotomy can also be associated, especially in cases with hyperacidity.
mesh_terms: D003106:Colon / Q000601:surgery*; D004386:Duodenum / Q000601:surgery; D004935:Esophageal Diseases / Q000601:surgery*; D004940:Esophageal Stenosis / Q000601:surgery; D004944:Esophagoplasty / Q000379:methods*; D006801:Humans; D007082:Ileum / Q000601:surgery; D011708:Pylorus / Q000601:surgery*; D014628:Vagotomy
vernacular_title: Anastomoza colopilorică cu piloroplastie în esofagoplastii.