The result of esophagoplasty with transverse colon: 63 cases

ABSTRACT

Background: esophagoplasty with transverse colon is often used for benign esophageal diseases. In esophageal cancer, esophagoplasty with transverse colon is applied when the colon can not be used or in gastric bypass surgery, without removing tumor. Objectives: to evaluate the results of esophagoplasty with transverse colon in the treatment of some disorders of esophagus. Subjectives and Method: a retrospective descriptive study was carried out on 63 patients who with transverse colon from January 1982 to December 2006, including 46 cases of esophageal scar due to chemical induced esophageal burn, 14 cases of esophageal cancer, 1 case of esophageal narrow after failed surgery of cardia contraction, 1 case of 2nd stage esophagoplasty after surgery for esophageal injury and 1 case due to failure of surgery for congenital esophageal atrophy. Results: No postoperative mortality. Early postoperative complications included 17 cases of anastomotic leakage (26.9%). No cases of colon graft necrosis. Narrow anastomotis occurred in 7 cases (11.1%). Inflammation of colon graft due to esophageal reflux in 3 cases (4.8%). The mean survival time of 11 esophageal cancer patients who had esophagoplasty, not removing tumors was 4.6 months (3-7 months). Conclussion esophagoplastic surgery with transverse colon did not cause postoperative mortality, the rate of neck anastomotic leakage was relatively high and this rate has declined in recent years. After the surgery, the most patients had good functional results.