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Joseph H. Gorman, III
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Ann Thorac Surg 2003;76:933-935
© 2003 The Society of Thoracic Surgeons

Case report

Extended left colon interposition for esophageal replacement using arterial augmentation

Joseph H. Gorman, III, MD*a, David W. Low, MDa, T. Sloane Guy, IV, MDa, Robert C. Gorman, MDa, Ernest F. Rosato, MDa

a Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA

Accepted for publication February 14, 2003.

* Address reprint requests to Dr Joseph H. Gorman, 3400 Spruce St, 6 Silverstein Pavilion, Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA 19104
e-mail: gormanj{at}uphs.upenn.edu

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.






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