Colonic interposition in post-burn oesophageal strictures still remains a challenge. The main issue is the viability of the cervical portion of the colonic graft. The article provides a literature review on mesentericography and hypervascularisation of colonic graft for oesophageal replacement. The authors share their own experience. The study of the colic arterial anatomy enables one to choose its more perfused portion for oesophageal replacement. In insufficient blood supply, direct anastomoses with cervical or internal thoracic vessels have been proposed for hypervascularisation of the cervical part of graft. The technique of vessel ligation with a subsequent intensive collateral blood flow has been designed for hypervascularisation of the colonic graft.
REFERENCES(49)
1.
Kelling GE. Osophagoplastik mit Hilte das Querkolons. Zentralbl Chir 1911; 38: 1209-12.
Thomas P, Fuentes P, Giudicelli R, Reboud E. Colon interposition for esophageal replacement: current indications and long-term function. Ann Thorac Surg 1997; 64: 757-64.
De Meester TR, Johansson KE, Franze I, Eypasch E, Lu CT, Megill JE, Zaninotto G. Indications, surgical technique and long-term functional results of colon interposition or bypass. Ann Surg 1988; 208: 460-74.
Sonneland J, Anson BJ, Beaton LE. Surgical anatomy of the arterial supply to the colon from the superior mesenteric artery based upon a study of 600 specimens. Surg Gynec Obstet 1958; 106: 385-98.
Baum S. Normal anatomy and collateral pathways of the mesenteric circulation. In: Vascular Disorders of the Intestine. Boley SI (ed.). Appleton-Century-Crofts, New York, London 1971.
Pouyet M, Berard PH, Bousquet G. Documents anatomiques sur l’emploi du colon transverse isoperistaltique pour oesophagoplastie. Lyon Chir 1967; 63: 199-207.
Thomas P, Fuentes P, Guidichelli R, Redoud E. Colon interposition for esophageal replacement: current indication and long-term function. Ann Thorac Surg 1997; 64: 757-64.
Peters JH, Kronson JW, Katz M, De Meester TR. Arterial anatomic considerations in colon interposition for esophageal replacement. Arch Surg 1997; 130: 858-63.
Chang JS, Chen HC, Sharma R, Gedebou TM, Feng M. Microvascular reconstruction of the esophagus using supercharged pedicled jejunum flaps: special indication and pitfalls. Plast Reconst Surg 2002; 110: 742-8.
Seidenberg B, Rosenak SS, Herwitt ES. Immediate reconstruction of the cervical esophagus by a revascularized isolated jejunal segment. Ann Surg 1959; 149: 162.
Chana JS, Chen HC, Sharma R, Gedebou TM, Feng M. Microvascular reconstruction of the esophagus using supercharged pedicled jejunum flaps: special indication and pitfalls. Plast Reconst Surg 2002; 110: 742-8.
Fujita H, Amana H, Sueyoshi S. Impact on outcome of additional microvascular anastomosis supercharge on colon interposition for esophageal replacement: comparative and multivariate analysis. World J Surg 1997; 21: 998-1003.
O´Rourke JC, Threlfall GN. Colonic interposition for esophageal reconstruction with special reference to microvascular reinforcement of graft circulation. Aust J Surg 1986; 56: 767-71.
Shirakawa Y, Naomoto Y, Noma K, Sakirama K, Nishikawa T. Colonic interposition and supercharge for esophageal reconstruction. Langenbecks Arch Surg 2006; 391: 19-23.
Shumacker HB, Battersby JS. The problem of esophageal replacement by jejunum with particular reference to influence upon circulation of staging the division of mesenteric vessels. Ann Surg 1951; 43: 463-71.
Lafargue P, Dufour R, Cabanie H, Chavannaz N. Esophagoplastie prethoracique a L’aide du colon droit et de L’ileon terminal Med. Acad Chir 1951; 77: 362-9.
Varabei AV, Chepik DA, Vizhinis EI. One-step retrosternal esophagoplasty in the treatment of patients with postburn cicatrical stricture of the esophagus. Khirurgiya 2014; 7: 26-33 (In Russian).
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