title: Superdrainage of the ileocolic vein to the internal jugular vein interposed by an inferior mesenteric vein graft in replacing the esophagus with the right hemicolon.
abstract: The fear of serious complications, such as a necrotic conduit caused by an impaired blood circulation can arise when replacing the esophagus with an intestinal conduit. The aim of this paper is to present effective superdrainage of an intestinal conduit using an inferior mesenteric vein (IMV) interposition graft. In 2008, we performed superdrainage of the ileocolic vein to the internal jugular vein interposed by an IMV graft in replacing the esophagus with the right hemicolon for advanced thoracic esophageal cancer in three patients with a synchronous gastric cancer or a previous gastrectomy. No leakage at the enteric anastomoses occurred. Neither ischemic lesions in these intestinal conduits nor complications caused by harvesting an IMV graft were observed. Superdrainage of the ileocolic vein to the internal jugular vein interposed by an IMV graft effectively improves the blood circulation in intestinal conduits brought up to the neck as an esophageal replacement.
authors.affiliation: Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.
authors.forename: Hideaki
authors.initials: H
authors.lastname: Uchiyama
authors.forename: Masaru
authors.initials: M
authors.lastname: Morita
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Toh
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Saeki
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Kakeji
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Matsuura
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Maehara
mesh_terms: D003106:Colon / Q000098:blood supply / Q000637:transplantation*; D004938:Esophageal Neoplasms / Q000601:surgery*; D004947:Esophagus / Q000098:blood supply*; D006801:Humans; D007601:Jugular Veins / Q000502:physiology / Q000637:transplantation*; D008642:Mesenteric Veins / Q000637:transplantation*; D012039:Regional Blood Flow; D016896:Treatment Outcome