Colonic interposition and supercharge for esophageal reconstruction.
OBJECTIVE
We evaluated the techniques of colonic interposition and supercharge for esophageal reconstruction and discussed the main considerations related to these procedures.


METHODS
In this study, we performed 51 esophageal reconstructions using colonic interposition. Twenty-eight of the 51 patients had synchronous or allochronic gastric malignancy. We selected colonic interposition for high anastomosis in 11 patients and also for esophageal bypass in 3 patients. This procedure was also selected to preserve gastric function in 5 patients. We recently performed the supercharge technique for colonic interposition in 41 patients.


RESULTS
Despite the long duration and multistep nature of the operation procedure, no perioperative complications were noted. The patients returned to a good quality of life. The incidence of postoperative weight loss did not differ significantly between the colonic reconstruction group and the gastric reconstruction group. In terms of heartburn and dumping syndrome, the outcome was markedly better in the colonic reconstruction group (no cases of heartburn or dumping syndrome) than that in the gastric reconstruction group.


CONCLUSIONS
For reconstruction of the esophagus, the colonic interposition and supercharge technique is advantageous and contributes to the patient's quality of life.
Shirakawa
Yasuhiro
Y
Department of Gastroenterological Surgery, Transplant, and Surgical Oncology, Graduate School of Medicine and Dentistry, Okayama University, Shikatacho, Okayama, Japan.
Naomoto
Yoshio
Y
Noma
Kazuhiro
K
Sakurama
Kazufumi
K
Nishikawa
Toshio
T
Nobuhisa
Tetsuji
T
Kobayashi
Masahiko
M
Okawa
Takaomi
T
Asami
Shinya
S
Yamatsuji
Tomoki
T
Haisa
Minoru
M
Matsuoka
Junji
J
Hanazaki
Motohiko
M
Morita
Kiyoshi
K
Hiraki
Takao
T
Tanaka
Noriaki
N
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical / Q000379:methods; D003106:Colon / Q000601:surgery*; D004938:Esophageal Neoplasms / Q000601:surgery*; D004947:Esophagus / Q000601:surgery*; D005260:Female; D005743:Gastrectomy; D006801:Humans; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D011183:Postoperative Complications; D011788:Quality of Life; D019651:Plastic Surgery Procedures / Q000379:methods*; D013274:Stomach Neoplasms / Q000601:surgery; D016896:Treatment Outcome; D014630:Vagus Nerve / Q000601:surgery