Colonic transposition using mid colon for corrosive oesophageal strictures.

IF 0.7 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2024-01-01 Epub Date: 2023-06-13 DOI:10.1007/s12055-023-01531-6

Vinay H G, Ramesh Reddy G, Ramprashanth M P

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引用次数: 0

Abstract

Purpose: To evaluate mid colon as a viable alternative for reconstruction in diffuse corrosive oesophageal stricture compared to other modes.

Methods: This is a prospective observational study of surgical management of corrosive oesophageal stricture using the colonic interposition graft. Eight patients were included for a period of 4 years from January 2017 to December 2020 and followed up for a mean period of 32 months (range of 24 to 46 months). The results in these eight patients are discussed.

Results: A total of 8 patients underwent retrosternal oesophagocoloplasty and gastrojejunostomy. There was no intraoperative or hospital death. Postoperative complications included one patient each having aspiration pneumonia and anastomotic leak.

Conclusion: A successful reconstruction can be done by securing the correct vascular pedicle and a technique of good anastomosis. From our experience, colonic transposition using mid colon as conduit can be considered as a viable alternative in patients with long segment oesophageal stricture.

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结肠中段移位术治疗腐蚀性食管狭窄

目的：与其他模式相比，评估中结肠作为弥漫性腐蚀性食管狭窄重建的可行替代方案：这是一项前瞻性观察研究，研究对象为使用结肠间置移植术治疗腐蚀性食管狭窄的患者。从 2017 年 1 月到 2020 年 12 月，共纳入 8 名患者，为期 4 年，平均随访 32 个月（24 到 46 个月）。现对这八名患者的结果进行讨论：共有8名患者接受了胸骨后食管结肠成形术和胃空肠吻合术。没有术中或住院死亡病例。术后并发症包括吸入性肺炎和吻合口漏各一名：结论：确保正确的血管蒂和良好的吻合技术可以成功完成重建。根据我们的经验，对于长段食道狭窄患者，使用中结肠作为导管进行结肠转位可被视为一种可行的替代方案。

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来源期刊

Indian Journal of Thoracic and Cardiovascular Surgery CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

1.20

自引率

14.30%

发文量

141

期刊介绍： The primary aim of the Indian Journal of Thoracic and Cardiovascular Surgery is education. The journal aims to dissipate current clinical practices and developments in the area of cardiovascular and thoracic surgery. This includes information on cardiovascular epidemiology, aetiopathogenesis, clinical manifestation etc. The journal accepts manuscripts from cardiovascular anaesthesia, cardiothoracic and vascular nursing and technology development and new/innovative products.The journal is the official publication of the Indian Association of Cardiovascular and Thoracic Surgeons which has a membership of over 1000 at present.DescriptionThe journal is the official organ of the Indian Association of Cardiovascular-Thoracic Surgeons. It was started in 1982 by Dr. Solomon Victor and ws being published twice a year up to 1996. From 2000 the editorial office moved to Delhi. From 2001 the journal was extended to quarterly and subsequently four issues annually have been printed out at time and regularly without fail. The journal receives manuscripts from members and non-members and cardiovascular surgeons. The manuscripts are peer reviewed by at least two or sometimes three or four reviewers who are on the panel. The manuscript process is now completely online. Funding the journal comes partially from the organization and from revenue generated by subscription and advertisement.