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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Ann+Cardiothorac+Surg
2017 ; 6
(2
): 137-143
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Alternative conduits for esophageal replacement
#MMPMID28447002
Bakshi A
; Sugarbaker DJ
; Burt BM
Ann Cardiothorac Surg
2017[Mar]; 6
(2
): 137-143
PMID28447002
show ga
Replacement of the native esophagus after esophagectomy is a problem that has
challenged surgeons for over a century. Not only must the conduit be long enough
to bridge the distance between the cervical esophagus and the abdomen, it must
also have a reliable vascular supply and be sufficiently functional to allow for
deglutition. The stomach, jejunum, and colon (right, left or transverse) have all
been proposed as potential solutions. The stomach has gained favor for its
length, reliable vascular supply and need for only a single anastomosis. However,
there are times when the stomach is unavailable for use as a conduit. It is in
these instances that an esophageal surgeon must have an alternative conduit in
their armamentarium. In this paper, we will briefly discuss the technical aspects
of jejunal and colonic interposition. We will review the recent literature with a
focus on early and late outcomes. The advantages and disadvantages of both
options will be reviewed.