colon interposition
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Author(s):  
Chantal A ten Kate ◽  
Anne-Fleur R L van Hal ◽  
Nicole S Erler ◽  
Michail Doukas ◽  
Suzan Nikkessen ◽  
...  

SUMMARY Background Endoscopic surveillance of adults with esophageal atresia is advocated, but the optimal surveillance strategy remains uncertain. This study aimed to provide recommendations on appropriate starting age and intervals of endoscopic surveillance in adults with esophageal atresia. Methods Participants underwent standardized upper endoscopies with biopsies. Surveillance intervals of 3–5 years were applied, depending on age and histopathological results. Patient’s age and time to development of (pre)malignant lesions were calculated. Results A total of 271 patients with esophageal atresia (55% male; median age at baseline endoscopy 26.7 (range 15.6–68.5) years; colon interposition n = 17) were included. Barrett’s esophagus was found in 19 (7%) patients (median age 32.3 (17.8–56.0) years at diagnosis). Youngest patient with a clinically relevant Barrett’s esophagus was 20.9 years. Follow-up endoscopies were performed in 108 patients (40%; median follow-up time 4.6 years). During surveillance, four patients developed Barrett’s esophagus but no dysplasia or cancer was found. One 45-year-old woman with a colon interposition developed an adenoma with high-grade dysplasia which was radically removed. Two new cases of esophageal carcinoma were diagnosed in patients (55 and 66 years old) who were not under surveillance. One of them had been curatively treated for esophageal carcinoma 13 years ago. Conclusions This study shows that endoscopic screening of patients with esophageal atresia, including those with a colon interposition, can be started at 20 years of age. Up to the age of 40 years a surveillance interval of 10 years appeared to be safe. Endoscopic surveillance may also be warranted for patients after curative esophageal cancer treatment.


2021 ◽  
Vol 34 (Supplement_1) ◽  
Author(s):  
Flávio Sabino ◽  
Marco Guimarães-Filho ◽  
Luciana Ribeiro ◽  
Daniel Fernandes ◽  
Luis Felipe Pinto

Abstract   The standard esophageal replacement after esophagectomy for cancer treatment is a gastric conduit, as it is a simpler technique than the other options available, requiring only one anastomosis. However, when the stomach is not available, a left- or right colon graft interposition can be performed. The purpose of this study was to review our experience with colon interposition following esophagectomy for cancer and assess the surgical outcomes. Methods The clinical data and surgical outcomes form patients who underwent esophagectomy with colon interposition for cancer treatment, in a single institution, between January 1990 and December 2017. The results were compared with cases with gastric reconstruction. Results From January 1990 and December 2017, 25 cases of transhiatal esophagectomy with colon interposition were identified. In the same period, 97 cases of transhiatal esophagectomy with gastric pull-up were also performed. The patient’s clinical data and surgical outcomes are presented in Table 1. The indication for performing a colon interposition was positive distal margin in 87% of cases, gastric conduit ischemia in 8,7% and prior gastric surgery in 4,3%. The most common pull-up route was the posterior mediastinum (87%). Conclusion Our results are in line with the literature and demonstrate that colon interposition after esophagectomy is feasible and, despite having a significant morbimortality, appears to be a valuable alternative for the challenging situation where the stomach is not available.


2021 ◽  
pp. 014556132110417
Author(s):  
Aishwarya Suresh ◽  
Vishnu V. Martha ◽  
Robert T. Sataloff

Significance Statement This case highlights the consequences of colon interposition on phonation and swallowing. Findings in this patient included laryngopharyngeal reflux, vocal fold paralysis, poor esophageal peristalsis, failed bolus transfers, and others. The mechanical and functional differences between the colon and the esophagus can impact bolus transfer, reflux, and phonation. Further research is required to identify the mechanisms by which colon interposition can impact voice and swallowing.


Chirurgia ◽  
2021 ◽  
Vol 34 (3) ◽  
Author(s):  
Mohamed M. MANSY ◽  
Mostafa A. KOTB ◽  
Saber M. WAHEEB ◽  
Ahmed M. KHAIRI ◽  
Osama A. ELNAGGAR ◽  
...  

2021 ◽  
Vol 37 (1) ◽  
pp. 268-272
Author(s):  
Aliaa Rabie ◽  
Mohamed El Debeiky ◽  
Tamer Ghoneim ◽  
Ahmed Khairi ◽  
Ahmed Ezzat Mrzouk Saad El-Rouby

2021 ◽  
Vol 0 ◽  
pp. 0-0
Author(s):  
Venanzio Porziella ◽  
Diomira Tabacco ◽  
Edoardo Zanfrini ◽  
Jessica Evangelista ◽  
Maria Letizia Vita ◽  
...  
Keyword(s):  

2020 ◽  
Vol 42 (4) ◽  
pp. 331-334
Author(s):  
Masahiro TAKEUCHI ◽  
Masahiko ONODA ◽  
Kumiko YOSHIDA ◽  
Michinori IWAMURA ◽  
Akira FURUTANI ◽  
...  

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