Document Detail


Extended left colon interposition for esophageal replacement using arterial augmentation.
MedLine Citation:
PMID:  12963237     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Gastric necrosis after esophagectomy is a difficult clinical problem. Remedial operations to reestablish gut continuity usually rely on the use of the left colon as the neo-esophagus. Previous resection of the necrotic stomach, adhesions associated with a multiple redo-laparotomy and the need to use a substernal route to reach the cervical esophagus all conspire to produce a requirement for increased conduit length. We present a case in which the "arterial supercharge technique" was used to provide a colonic interposition with extended length in such a clinical situation.
Authors:
Joseph H Gorman; David W Low; T Sloane Guy; Robert C Gorman; Ernest F Rosato
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  76     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2003 Sep 
Date Detail:
Created Date:  2003-09-09     Completed Date:  2003-11-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  933-5     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA. gormanj@uphs.upenn.edu
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MeSH Terms
Descriptor/Qualifier:
Anastomosis, Surgical / methods
Arteries
Colon / blood supply*,  surgery*
Esophagectomy*
Esophagus / surgery*
Humans
Male
Middle Aged

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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