German experience with colon interposition grafting as an esophageal substitute

被引:28
作者
Fürst, H [1 ]
Hüttl, TP [1 ]
Löhe, F [1 ]
Schildberg, FW [1 ]
机构
[1] Univ Munich, Klinikum Grosshadern, Chirurg Klin & Poliklin, D-81377 Munich, Germany
关键词
D O I
10.1046/j.1442-2050.2001.00170.x
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Preliminary results of a questionnaire survey showed that gastric transposition is the technique of choice in Germany to restore alimentary continuity after esophageal resection. Experience with colon interposition grafting is low. Only 13% of all centers perform this technique. Despite this limited experience, there appears to be no difference in the complication rate between gastric pull-through procedures and colon interpositions. A modification of established colon interposition techniques is possible when the right colon is used if it is prepared in such a way that the left colonic artery is the blood supplying vessel. This modified technique may be simpler to perform than previous procedures for creating a colon interposition graft and may also facilitate esophageal replacement using colon interposition grafting.
引用
收藏
页码:131 / 134
页数:4
相关论文
共 18 条
[1]   USE OF STOMACH AS AN ESOPHAGEAL SUBSTITUTE [J].
AKIYAMA, H ;
MIYAZONO, H ;
TSURUMARU, M ;
HASHIMOTO, C ;
KAWAMURA, T .
ANNALS OF SURGERY, 1978, 188 (05) :606-610
[2]  
AKIYAMA H, 1995, ESOPHAGEAL SURG, P587
[3]  
Bartels H, 1998, BRIT J SURG, V85, P840
[4]   ESOPHAGOGASTRECTOMY FOR BENIGN ESOPHAGEAL STRICTURE - FATE OF THE ESOPHAGOGASTRIC ANASTOMOSIS [J].
BENDER, EM ;
WALBAUM, PR .
ANNALS OF SURGERY, 1987, 205 (04) :385-388
[5]   ESOPHAGEAL REPLACEMENT BY COLON INTERPOSITION [J].
CERFOLIO, RJ ;
ALLEN, MS ;
DESCHAMPS, C ;
TRASTEK, VF ;
PAIROLERO, PC .
ANNALS OF THORACIC SURGERY, 1995, 59 (06) :1382-1384
[6]  
CURETSCOTT MJ, 1987, SURGERY, V102, P568
[7]   INDICATIONS, SURGICAL TECHNIQUE, AND LONG-TERM FUNCTIONAL RESULTS OF COLON INTERPOSITION OR BYPASS [J].
DEMEESTER, TR ;
JOHANSSON, KE ;
FRANZE, I ;
EYPASCH, E ;
LU, CT ;
MCGILL, JE ;
ZANINOTTO, G .
ANNALS OF SURGERY, 1988, 208 (04) :460-474
[8]   Colon interposition for esophageal replacement -: An alternative technique based on the use of the right colon [J].
Fürst, H ;
Hartl, WH ;
Löhe, F ;
Schildberg, FW .
ANNALS OF SURGERY, 2000, 231 (02) :173-178
[9]  
Fürst H, 1999, CHIRURG, V70, P1434, DOI 10.1007/PL00002579
[10]  
GOLDFADEN D, 1986, J THORAC CARDIOV SUR, V91, P242