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Deprecated: Implicit conversion from float 263.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Ann+Transl+Med 2018 ; 6 (3): ä Nephropedia Template TP
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Peculiarities of intra-thoracic colon interposition?eso-coloplasty: indications, surgical management and outcomes #MMPMID29610733
Gust L; De Lesquen H; Bouabdallah I; Brioude G; Thomas PA; D?journo XB
Ann Transl Med 2018[Feb]; 6 (3): ä PMID29610733show ga
Stomach is the usual organ of choice for oesophageal replacement. Gastric pull-up is a standardized, fast and secure procedure, requiring only one anastomosis and usually performed with mini-invasive techniques. Colon is used when the stomach is not available, for tumours of the upper oesophagus or the hypopharynx, for benign or paediatric diseases. It is a complex surgery requiring a specific pre-operative management, three or four anastomoses, and a careful choice of the route of reconstruction. Early post-operative complications, such as anastomotic leakage, are frequent. Long-term outcomes are marked by strictures of the anastomosis and redundancy, but the reported quality of life of the patients is good. Eso-coloplasty remains a safe and feasible alternative to gastric pull-up for oesophageal replacement, for specific indications.