Archives of Craniofacial Surgery (대한두개안면성형외과학회지)

Korean Cleft Palate-Craniofacial Association (대한두개안면성형외과학회)
권호 표지
DOI QR코드

DOI QR Code

Microsurgical options after the failure of left colon interposition graft in esophagogastric reconstruction

  • Cha, Han Gyu (Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Jeong, Hyung Hwa (Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kim, Eun Key (Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine)
  • Received : 2018.12.12
  • Accepted : 2019.01.03
  • Published : 2019.04.20
Download PDF
⟨ Previous Next ⟩

Abstract

Colon interposition is commonly used for esophageal reconstruction in patients with a previous gastrectomy. However, when colon interposition fails and alternative reconstruction is required, there are few options for reconstructing the long segment from the esophagus to the stomach. Here, we report on cases of esophagogastric reconstruction with limited alternative options after the failure of transverse and left colon interposition. In these cases, reconstruction was performed using two different microvascular methods: double-pedicle jejunal free flap and supercharged ileocolic interposition graft.

Keywords

References

  1. Luan A, Hunter CL, Crowe CS, Lee GK. Comparison of outcomes of total esophageal reconstruction with supercharged jejunal flap, colonic interposition, and gastric pull-up. Ann Plast Surg 2018;80(5S Suppl 5):S274-8. https://doi.org/10.1097/SAP.0000000000001471
  2. Watanabe M, Mine S, Nishida K, Kurogochi T, Okamura A, Imamura Y. Reconstruction after esophagectomy for esophageal cancer patients with a history of gastrectomy. Gen Thorac Cardiovasc Surg 2016;64:457-63. https://doi.org/10.1007/s11748-016-0661-0
  3. Chen HC, Tang YB. Microsurgical reconstruction of the esophagus. Semin Surg Oncol 2000;19:235-45. https://doi.org/10.1002/1098-2388(200010/11)19:3<235::AID-SSU5>3.0.CO;2-M
  4. Bothereau H, Munoz-Bongrand N, Lambert B, Montemagno S, Cattan P, Sarfati E. Esophageal reconstruction after caustic injury: is there still a place for right coloplasty? Am J Surg 2007;193:660-4. https://doi.org/10.1016/j.amjsurg.2006.08.074
  5. Wormuth JK, Heitmiller RF. Esophageal conduit necrosis. Thorac Surg Clin 2006;16:11-22. https://doi.org/10.1016/j.thorsurg.2006.01.003
  6. Furst H, Huttl TP, Lohe F, Schildberg FW. German experience with colon interposition grafting as an esophageal substitute. Dis Esophagus 2001;14:131-4. https://doi.org/10.1046/j.1442-2050.2001.00170.x
  7. Hagen JA, DeMeester SR, Peters JH, Chandrasoma P, De-Meester TR. Curative resection for esophageal adenocarcinoma: analysis of 100 en bloc esophagectomies. Ann Surg 2001;234:520-30. https://doi.org/10.1097/00000658-200110000-00011
  8. Klink CD, Binnebosel M, Schneider M, Ophoff K, Schumpelick V, Jansen M. Operative outcome of colon interposition in the treatment of esophageal cancer: a 20-year experience. Surgery 2010;147:491-6. https://doi.org/10.1016/j.surg.2009.10.045
  9. Cerfolio RJ, Allen MS, Deschamps C, Trastek VF, Pairolero PC. Esophageal replacement by colon interposition. Ann Thorac Surg 1995;59:1382-4. https://doi.org/10.1016/0003-4975(95)00182-K
  10. Germain MA, Hartl DM, Boutin P, Marandas P, Luboinski B. Total esophagoplasty using a doubly vascularized free jejunal transplant: a last resort in two patients. Plast Reconstr Surg 2003;111:801-4. https://doi.org/10.1097/01.PRS.0000041610.00399.E7
  11. Doki Y, Okada K, Miyata H, Yamasaki M, Fujiwara Y, Takiguchi S, et al. Long-term and short-term evaluation of esophageal reconstruction using the colon or the jejunum in esophageal cancer patients after gastrectomy. Dis Esophagus 2008;21:132-8. https://doi.org/10.1111/j.1442-2050.2007.00738.x
  12. Kesler KA, Pillai ST, Birdas TJ, Rieger KM, Okereke IC, Ceppa D, et al. “Supercharged” isoperistaltic colon interposition for long-segment esophageal reconstruction. Ann Thorac Surg 2013;95:1162-8. https://doi.org/10.1016/j.athoracsur.2013.01.006
  13. Saeki H, Morita M, Harada N, Egashira A, Oki E, Uchiyama H, et al. Esophageal replacement by colon interposition with microvascular surgery for patients with thoracic esophageal cancer: the utility of superdrainage. Dis Esophagus 2013;26:50-6. https://doi.org/10.1111/j.1442-2050.2012.01327.x
  14. Peters JH, Kronson JW, Katz M, DeMeester TR. Arterial anatomic considerations in colon interposition for esophageal replacement. Arch Surg 1995;130:858-62. https://doi.org/10.1001/archsurg.1995.01430080060009

Cited by

  1. Tubed Anterolateral Thigh Free Flap for Pharyngoesophageal Reconstruction vol.8, pp.9, 2019, https://doi.org/10.1097/gox.0000000000003046