title: Reflux after esophagectomy and interposition of right colon.
abstract: OBJECTIVE
  To determine the nature of reflux after esophagectomy and interposition of right colon.
  
  
  METHODS
  A case series.
  
  
  METHODS
  A university hospital.
  
  
  METHODS
  Five patients (mean age 43 years) in whom right colon had been interposed after total esophagectomy.
  
  
  METHODS
  Endoscopy and biopsy, manometry, 24-hour ambulatory pH testing.
  
  
  METHODS
  Endoscopic and histologic appearances of the colon, type of motor activity in the grafted colon and the type of reflux.
  
  
  RESULTS
  In all patients the grafted colon was macroscopically and microscopically normal. There was nonperistaltic motor activity in the interposed colon in two patients. All patients had an abnormal pattern of alkaline reflux, and one patient had abnormal acid reflux.
  
  
  CONCLUSIONS
  The clinical effect of alkaline reflux in patients with colonic interposition after total esophagectomy may be slight. Histologic and gross changes are likely to be minimal.
authors.affiliation: Department of Medicine, St. Boniface General Hospital, University of Manitoba.
authors.forename: J P
authors.initials: JP
authors.lastname: Shoenut
authors.forename: A B
authors.initials: AB
authors.lastname: Micflikier
authors.forename: J A
authors.initials: JA
authors.lastname: Wieler
authors.forename: K T
authors.initials: KT
authors.lastname: Riese
authors.forename: J S
authors.initials: JS
authors.lastname: McGoey
mesh_terms: D000328:Adult; D003106:Colon / Q000637:transplantation*; D016629:Esophagectomy / Q000009:adverse effects*; D004944:Esophagoplasty; D005764:Gastroesophageal Reflux / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D006863:Hydrogen-Ion Concentration; D008297:Male; D008365:Manometry; D008875:Middle Aged; D008991:Monitoring, Physiologic