Use of colon and jejunum as possible esophageal replacements.
When the stomach is not available, the colon or the small bowel can act as appropriate replacement conduits for the esophagus. A short left colon or small bowel interposition is favored for a short conduit. A long, left colon interposition is recommended for a subtotal or total esophagectomy. A long-limb Roux-Y jejunum interposition is favored following a total gastrectomy. The ultimate goal should be to restore the function of swallowing with minimal morbidity and mortality.
Deschamps
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Section of General Thoracic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
D000328:Adult; D000713:Anastomosis, Roux-en-Y; D003106:Colon / Q000637:transplantation*; D003113:Colonoscopy; D016629:Esophagectomy; D004944:Esophagoplasty / Q000379:methods*; D005743:Gastrectomy; D006801:Humans; D007583:Jejunum / Q000637:transplantation*; D008875:Middle Aged; D011187:Posture; D013270:Stomach / Q000601:surgery