Ileocolon Interposition Graft Following Surgery for Gastro-esophageal Junction Adenocarcinoma
| Autor: | Naveena A. N. Kumar, Rajeshwaran Ramalingam, Ranjit Vijayahari, H. Harish Kumar, Aravind Ramkumar |
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| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Reconstructive surgery
medicine.medical_specialty business.industry Stomach medicine.medical_treatment Case Report medicine.disease digestive system diseases Surgery Middle colic artery medicine.anatomical_structure Oncology Esophagectomy Surgical oncology medicine.artery medicine Adenocarcinoma Gastrectomy Esophagus business |
| Popis: | The stomach remains the most preferred esophageal substitute following esophagectomy for cancer [1]. However in circumstances where the stomach is not available due to involvement by the cancer, such as in our patient, or due to prior surgery, a few other options are still available. While the jejunum is suitable to reconstruct total gastrectomy and distal esophagectomy at or below the level of pulmonary hilum, its use when more of esophagus is resected is complicated by the need for micro vascular reconstructive surgery [2]. In such a scenario, the colonic conduit is the preferred substitute because of its consistent blood supply, long length and acid resistance [2]. Traditionally, the left colonic graft is more often used, but there is an increasing trend towards using right sided colonic or ileo-colonic conduits. We present a report wherein an ileo-colon interposition graft based on middle colic artery was used to reconstruct the Gastro-Intestinal tract following subtotal esophagectomy and total gastrectomy. |
| Databáze: | OpenAIRE |
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