[Observation on the long-term complications after esophageal replacement with colon].
OBJECTIVE
To study the etiology and preventive measures of the long-term postoperative complication after esophageal replacement with colon for esophageal benign disease.


METHODS
To review the clinical data of 577 patients with esophageal replacement with colon our department, including 123 cases of esophageal benign disease. Of all, there were 25 cases-time for 11 cases following with severe complication: redundancy and dilated colon 12 cases-time, severe stricture of stoma 4, macrocyst esophagus 2, colon-stomach stoma expansion 4, mechanical obstruction of colon 3. The etiology included iatrogenic and functionality. The therapy included stricture form or resection, redundancy segment resection, obstructed segment solution and stoma resection and form.


RESULTS
Eight cases underwent once operation, 2 case twice, 1 case three times. After operation, 9 cases took food normally, 2 improved symptoms obviously.


CONCLUSIONS
The iatrogenic and functionality factor contributed to severe complication after esophageal replacement with colon for esophageal benign disease. The preventive measure is followed during operation: cervical esophageal-colon anastomosis exceed 2.5 centimeter, abdominal colon-stomach anastomosis reflux, channel width of colon passage, intestinal canal lay up straight. Re-operation is best choice to for local stricture, colon expansion, redundancy and dilated colon.
Cheng
Bang-chang
BC
Department of Thoracic Cardiovascular Surgery, Renmin Hospital of Wuhan University, Wuhan 430060, China. xygwp@yahoo.com.cn
Xia
Jun
J
Liu
Xi-ping
XP
Mao
Zhi-fu
ZF
Zeng
Zhi-yong
ZY
Huang
Jie
J
Xiao
Yong-guang
YG
Wang
Tu-sheng
TS
Hu
Hao
H
Wu
Xiao-jian
XJ
D000328:Adult; D003106:Colon / Q000601:surgery*; D004935:Esophageal Diseases / Q000601:surgery*; D004944:Esophagoplasty / Q000009:adverse effects* / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology* / Q000517:prevention & control / Q000601:surgery; D012086:Reoperation; D012189:Retrospective Studies