title: [Observation on the long-term complications after esophageal replacement with colon].
abstract: 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.
authors.affiliation: Department of Thoracic Cardiovascular Surgery, Renmin Hospital of Wuhan University, Wuhan 430060, China. xygwp@yahoo.com.cn
authors.forename: Bang-chang
authors.initials: BC
authors.lastname: Cheng
authors.forename: Jun
authors.initials: J
authors.lastname: Xia
authors.forename: Xi-ping
authors.initials: XP
authors.lastname: Liu
authors.forename: Zhi-fu
authors.initials: ZF
authors.lastname: Mao
authors.forename: Zhi-yong
authors.initials: ZY
authors.lastname: Zeng
authors.forename: Jie
authors.initials: J
authors.lastname: Huang
authors.forename: Yong-guang
authors.initials: YG
authors.lastname: Xiao
authors.forename: Tu-sheng
authors.initials: TS
authors.lastname: Wang
authors.forename: Hao
authors.initials: H
authors.lastname: Hu
authors.forename: Xiao-jian
authors.initials: XJ
authors.lastname: Wu
mesh_terms: 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