Extended left colon interposition for esophageal replacement using arterial augmentation.
Gastric necrosis after esophagectomy is a difficult clinical problem. Remedial operations to reestablish gut continuity usually rely on the use of the left colon as the neo-esophagus. Previous resection of the necrotic stomach, adhesions associated with a multiple redo-laparotomy and the need to use a substernal route to reach the cervical esophagus all conspire to produce a requirement for increased conduit length. We present a case in which the "arterial supercharge technique" was used to provide a colonic interposition with extended length in such a clinical situation.
Gorman
Joseph H
JH
Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA. gormanj@uphs.upenn.edu
Low
David W
DW
Guy
T Sloane
TS
Gorman
Robert C
RC
Rosato
Ernest F
EF
D000714:Anastomosis, Surgical / Q000379:methods; D001158:Arteries; D003106:Colon / Q000098:blood supply* / Q000601:surgery*; D016629:Esophagectomy; D004947:Esophagus / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged