title: Clinical outcome of using gastric remnant or jejunum or colon conduit in surgery for esophageal carcinoma with previous gastrectomy.
abstract: BACKGROUND
  For esophageal carcinoma patients with early gastrectomy, individualized surgical plans-including selection of replacement conduit and operation route based on patient's new lesion and surgical history-can achieve the desired therapeutic effect and improve postoperative life quality. We investigated the outcomes at our institution.
  
  
  METHODS
  The clinical data of 42 esophageal carcinoma patients with early gastrectomy were analyzed retrospectively.
  
  
  RESULTS
  Esophagectomy was performed combining replacement with remnant stomach in 16 patients, jejunum in 17, and colon in 9. Esophagectomy combining replacement with gastric remnant got advantages of shorter operation time and less bleeding over that of replacement with jejunum or colon. Gastric remnant group scored higher on the QLQ-C30 questionnaire than jejunum or colon group with respect to overall quality of life, physical function, and social relationships. In QLQ-OES18 questionnaire, the scores of appetite recovery and reflux mitigation were more favorable in remnant stomach group than those in jejunum or colon group. Survival analysis showed no significant difference in survival rate among the patients undergoing replacement with gastric remnant, jejunum, or colon.
  
  
  CONCLUSIONS
  For esophageal carcinoma patients with early gastrectomy, esophagus-gastric remnant anastomosis possesses advantages of shorter operation time, less surgical trauma, and greater life quality after surgery.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Jiangsu Province People's Hospital and the First Affiliated Hospital of Nanjing Medical University, Nanjing, People's Republic of China.
authors.forename: Wang
authors.initials: W
authors.lastname: Jun
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Jiangsu Province People's Hospital and the First Affiliated Hospital of Nanjing Medical University, Nanjing, People's Republic of China.
authors.forename: Wen
authors.initials: W
authors.lastname: Wei
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Jiangsu Province People's Hospital and the First Affiliated Hospital of Nanjing Medical University, Nanjing, People's Republic of China.
authors.forename: Wu
authors.initials: W
authors.lastname: Weibing
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Jiangsu Province People's Hospital and the First Affiliated Hospital of Nanjing Medical University, Nanjing, People's Republic of China.
authors.forename: Xu
authors.initials: X
authors.lastname: Jing
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Jiangsu Province People's Hospital and the First Affiliated Hospital of Nanjing Medical University, Nanjing, People's Republic of China.
authors.forename: Zhen
authors.initials: Z
authors.lastname: Fuxi
authors.affiliation: Department of Thoracic Surgery, Taixing People's Hospital Affiliated to Yangzhou Medical University, Taixing, Jiangsu Province, People's Republic of China.
authors.forename: Xi
authors.initials: X
authors.lastname: Xiaoxiang
authors.affiliation: Department of Thoracic Surgery, Taixing People's Hospital Affiliated to Yangzhou Medical University, Taixing, Jiangsu Province, People's Republic of China.
authors.forename: Lu
authors.initials: L
authors.lastname: Bihong
authors.affiliation: Department of Physiology and Cell Biology, The University of Nevada School of Medicine, Reno, Nevada.
authors.forename: Zhou
authors.initials: Z
authors.lastname: Tong
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Jiangsu Province People's Hospital and the First Affiliated Hospital of Nanjing Medical University, Nanjing, People's Republic of China.
authors.forename: Chen
authors.initials: C
authors.lastname: Liang
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Jiangsu Province People's Hospital and the First Affiliated Hospital of Nanjing Medical University, Nanjing, People's Republic of China.
authors.forename: Luo
authors.initials: L
authors.lastname: Jinhua
mesh_terms: D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods*; D003106:Colon / Q000601:surgery*; D004938:Esophageal Neoplasms / Q000601:surgery*; D016629:Esophagectomy / Q000379:methods; D005260:Female; D005743:Gastrectomy; D018530:Gastric Stump / Q000601:surgery; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies
keywords: alimentary continuity reconstruction; esophageal carcinoma; gastric remnant