Experiences of esophageal replacement with ileocolon graft: a series of 34 cases
10.3760/cma.j.issn.0529-5815.2018.04.011
- VernacularTitle: 回结肠代食管术34例临床分析
- Author:
Xufeng GUO
1
;
Rong HUA
;
Yifeng SUN
;
Yu YANG
;
Bo YE
;
Bin LI
;
Haiyong GU
;
Xiaobing ZHANG
;
Teng MAO
;
Zhigang LI
Author Information
1. Department of Thoracic Surgery, Shanghai Chest Hospital, Section of Esophageal Cancer, Shanghai Jiaotong University, Shanghai 200030, China
- Publication Type:Journal Article
- Keywords:
Esophageal disease;
Esophagoplasty;
Ileocolon
- From:
Chinese Journal of Surgery
2018;56(4):299-302
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the safety and effectiveness of esophageal replacement with ileocolon graft.
Methods:Totally 34 cases of esophageal replacement with ileocolon graft from July 2015 to November 2017 at Department of Thoracic Surgery, Shanghai Chest Hospital, Shanghai Jiaotong University were analyzed retrospectively, including 24 male and 10 female, aging from 7 to 72 years old. Esophageal replacement with ileocolon graft by right and/or middle colic artery as a blood supply using retrosternal route except one subcutaneous route. The primary esophageal disease, postoperative complication rate and quality of life were analyzed.
Results:The overall postoperative complication rate was 23.5% (8/34), cervical anastomotic leakage rate of 5.9% (2/34), necrosis of colon graft of 5.9% (2/34). There were 3 patients experienced re-operation including 2 patients with colon graft necrosis and 1 patient with intestinal obstruction after ERC. One patient with colon graft necrosis died of septic shock after reoperation. Six cases of cervical esophago-jejunal anastomosis stenosis and 1 case of diarrhea occurred in the later time. All patients were followed up for a median time of 9 months (range: 1 to 28 months), 32 cases survived but 1 patient died until last follow-up by the end of December 2017.
Conclusion:Esophageal replacement with ileocolon graft by right and/or middle colic artery as a blood supply using retrosternal route was safe and effective.
