HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Kamal A. Mansour Henry A. Hansen, II Joseph I. Miller, Jr. Charles R. Hatcher, Jr. Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Mansour, K. A. Articles by Hatcher, C. R. Search for Related Content PubMed PubMed Citation Articles by Mansour, K. A. Articles by Hatcher, C. R., Jr.

Ann Thorac Surg 1981;32:584-591
© 1981 The Society of Thoracic Surgeons

---

Articles

Colon Interposition for Advanced Nonmalignant Esophageal Stricture: Experience with 40 Patients

From the Joseph B. Whitehead Department of Surgery, Division of Cardio-Thoracic Surgery, and the Department of Medicine, Division of Digestive Diseases, Emory University School of Medicine, Atlanta, GA

^* Address reprint requests to Dr. Mansour, Emory University Clinic, 1365 Clifton Road NE, Atlanta, GA 30322

This report details our experience in 40 patients with benign strictures of the esophagus who underwent colon (or gastric) interposition with or without esophageal resection between 1972 and 1980. There were 23 men and 17 women ranging from 5 to 76 years old. Twenty-seven patients had fibrotic strictures secondary to reflux esophagitis including 12 after failure of antireflux procedures; 4 had caustic strictures; 3 had a Barrett's esophagus; 2 had systemic candidiasis; 2 had scleroderma; and in 2 the etiology was undetermined. The right colon was used in 27 patients, the left colon in 4, the transverse colon in 1, and the jejunum in 1. In 7 patients the stomach was employed because of vascular insufficiency of the colon. Three surgical approaches were utilized. Manometric studies were done postoperatively in 10 patients. Complications occurred in 7 patients: cervical leaks, 4; reflux colitis, 2; and a late cervical stricture, 1. There were 4 deaths, only 1 of which was related directly to technique.

This report summarizes the beneficial effect of right colon interposition for long esophageal strictures. Its vasculature is adequate, and it functions properly to propel food into the stomach irrespective of the peristaltic orientation.

This article has been cited by other articles:

				K. A. Mansour, F. C. Bryan, and G. W. Carlson Bowel Interposition for Esophageal Replacement: Twenty-Five-Year Experience Ann. Thorac. Surg., September 1, 1997; 64(3): 752 - 756. [Abstract] [Full Text]

				E. A. Davis and R. F. Heitmiller Esophagectomy for Benign Disease: Trends in Surgical Results and Management Ann. Thorac. Surg., August 1, 1996; 62(2): 369 - 372. [Abstract] [Full Text]

				R. J. Cerfolio, M. S. Allen, C. Deschamps, V. F. Trastek, and P. C. Pairolero Esophageal replacement by colon interposition Ann. Thorac. Surg., June 1, 1995; 59(6): 1382 - 1384. [Abstract] [PDF]

				G. W. Carlson, T. M. Andersen, J. R. Galloway, and K. A. Mansour Salvage of colon interposition by antethoracic free jejunal transfer Ann. Thorac. Surg., November 1, 1994; 58(5): 1523 - 1525. [Abstract] [PDF]

				K. A. Mansour and C. E. Malone Surgery for Scleroderma of the Esophagus: A 12-Year Experience Ann. Thorac. Surg., November 1, 1988; 46(5): 513 - 514. [Abstract] [PDF]

				M. V. Kamath, R. G. Ellison, J. W. Rubin, H. V. Moore, and G. P. Pai Esophageal Mucocele: A Complication of Blind Loop Esophagus Ann. Thorac. Surg., March 1, 1987; 43(3): 263 - 269. [Abstract] [PDF]

				R. P. Sterling, R. C. Kuykendall, M. J. Carmichael, and K. Khalil Unusual Sequelae of Colon Interposition for Esophageal Reconstruction: Late Obstruction Requiring Reoperation Ann. Thorac. Surg., September 1, 1984; 38(3): 292 - 295. [Abstract] [PDF]

				J. R. Hankins, F. N. Cole, and J. S. McLaughlin Colon Interposition for Benign Esophageal Disease: Experience with 23 Patients Ann. Thorac. Surg., March 1, 1984; 37(3): 192 - 196. [Abstract] [PDF]