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Ann Thorac Surg 1989;48:677-682
© 1989 The Society of Thoracic Surgeons

Articles

Replacement of the esophagus by a segment of colon provided with an antireflux valve

Sture Larsson, MD, PhD*, Gerhard Lycke, MD, Göran Rådberg, MD

Departments of Thoracic and Cardiovascular Surgery and Radiology, University of Göteborg, Gothenburg, Sweden

Accepted for publication July 31, 1989.

* Address reprint requests to Dr Larsson, Department of Thoracic and Cardiovascular Surgery, Sahlgren's Hospital, 5-413 45 Gothenburg, Sweden.

A method has been developed to prevent reflux of gastric contents into an interposed segment of colon substituting for the esophagus. The operative procedure includes construction of an intussusception valve at the cologastric junction. The method was used in 5 patients, who have been followed clinically for 17 to 30 mouths. Clinical observations including endoscopy as well as radiography and dynamic scintigraphy indicate that the addition of an antireflux valve at the distal end of ihe interposed segment of colon prevents gastrocolic reflux without jeopardizing the emptying of the colon transplant.




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[Abstract] [PDF]


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