Long esophagoplasty: functional study.
The functional results of different types of plasty were evaluated in 46 patients who had undergone esophageal replacement for different pathologies. The patients were classified into three groups according to the type of plasty: I) 19 ileocecocolonoplasties (ICC), II) 11 left colonoplasties (LC), III) 16 gastroplasties (GP). The postoperative studies made were: a) clinical evaluation, b) radiological barium contrast study, c) isotopic transit of semisolid food marked with 99m-Tc colloidal sulfur and d) manometry. The clinical evaluation disclosed no significant differences between the three groups. Isotopic scans revealed more rapid emptying of the ICC, with elimination by the ileal segment in the first minute of 76.3 +/- 3.3% of the isotope, and by the entire plasty of 79.4 +/- 4.2% in 15 minutes (p less than 0.001). The manometric study showed non-response by the GP. The motor activity of the terminal ileoplasty was greater than that of the other plasties studied, and that of the right colonoplasty was greater than that of the left (p less than 0.01). Likewise, the clearance of acid (HCl 0.1N) by the ICC was more rapid than that of the LC (p less than 0.01). It is concluded that, functionally, the ICC is a better long esophagoplasty than the other procedures studied.
Calleja
I J
IJ
Department C of General and Digestive Surgery, Hospital Primero de Octubre, Madrid, Spain.
Moreno
E
E
Santoyo
J
J
Gomez
M
M
Navalon
J
J
Arias
J
J
Castellanos
G
G
Solis
J A
JA
D000328:Adult; D002432:Cecum / Q000601:surgery; D003106:Colon / Q000601:surgery; D004935:Esophageal Diseases / Q000503:physiopathology / Q000601:surgery*; D004944:Esophagoplasty; D004947:Esophagus / Q000503:physiopathology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007082:Ileum / Q000601:surgery; D008297:Male; D008365:Manometry; D008875:Middle Aged; D010528:Peristalsis; D011184:Postoperative Period; D013270:Stomach / Q000601:surgery