Abstract
Background Colonic evaluation is an essential step before proceeding with esophagectomy to reconstruct by colonic interposition. Colonoscopy is the standard practice for colorectal cancer screening, but it has a chance of failing cecal intubation and carries a risk of horrific complication by colonic perforation. CT colonography is a less invasive alternative method that has been reported as useful for colonoscopic screening in cases of average risk of colorectal cancer. This study set out to report our clinical experience and to evaluate CT colonoscopy in the preoperative process for colonic interposition of esophagectomy patients. Methods Data for esophagectomy with colonic interposition patients between March 2016 and December 2019 was retrospectively analyzed. Results Nineteen patients were included in this study with 13 in the esophageal cancer group and 6 in the corrosive esophageal injury group. The majority of conduits used ileocolonic graft. After colonic interposition, endoscopy was performed and no lesions of conduits were detected. Conclusion CT colonoscopy is a minimally invasive and reliable colonic evaluation method for the patient of average colorectal cancer risk who has undergone esophagectomy with colonic interposition.
Esophageal reconstruction with colon interposition for corrosive esophageal injury
