title: Substernal long segment left colon interposition for oesophageal replacement.
abstract: Long segments of colon, transposed on a vascular pedicle, have been used for oesophageal substitution for a long time. However the techniques employed for colonic reconstruction remain debated. We describe our substernal long segment replacement technique and emphasise several key aspects which are important in management of these patients. Optimising nutritional status and pulmonary function remain important aspects. Thymectomy allows room for the colonic segment preventing venous congestion. These patients are best managed in specialist units incorporating a multidisciplinary approach with good intensive care and radiological support.
authors.affiliation: Department of Surgery, St Thomas's Hospital, Lambeth Palace Road, London, UK. aamirzkhan@yahoo.com
authors.forename: A Z
authors.initials: AZ
authors.lastname: Khan
authors.forename: I
authors.initials: I
authors.lastname: Nikolopolous
authors.forename: A J
authors.initials: AJ
authors.lastname: Botha
authors.forename: R C
authors.initials: RC
authors.lastname: Mason
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D044684:Colon, Transverse / Q000637:transplantation*; D016629:Esophagectomy / Q000534:rehabilitation; D004944:Esophagoplasty / Q000379:methods*; D004947:Esophagus / Q000601:surgery*; D006801:Humans; D008168:Lung / Q000503:physiopathology; D009752:Nutritional Status; D019651:Plastic Surgery Procedures / Q000379:methods*; D017792:Surgical Stapling; D013934:Thymectomy