title: Extended left colon interposition for esophageal replacement using arterial augmentation.
abstract: 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.
authors.affiliation: Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA. gormanj@uphs.upenn.edu
authors.forename: Joseph H
authors.initials: JH
authors.lastname: Gorman
authors.forename: David W
authors.initials: DW
authors.lastname: Low
authors.forename: T Sloane
authors.initials: TS
authors.lastname: Guy
authors.forename: Robert C
authors.initials: RC
authors.lastname: Gorman
authors.forename: Ernest F
authors.initials: EF
authors.lastname: Rosato
mesh_terms: 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