Resumen

BRAGHETTO M, Italo et al. Esophageal reconstruction using right colon interposition. Rev Chil Cir [online]. 2015, vol.67, n.3, pp.271-277. ISSN 0718-4026.  http://dx.doi.org/10.4067/S0718-40262015000300006.

Background: Esophageal replacement therapy is indicated for benign and malignant esophageal lesions and can be performed using stomach, jejunum or colon. Aim: To report the experience using right colon interposition for esophageal replacement. Material and Methods: Review of medical records of 41 patients aged 17 to 73 years (29 males), subjected to right colon interposition in the last 20 years. Indications, complications, mortality and long term results were recorded. Results: Forty nine percent of patients had a malignant esophageal lesion. Esophagectomy was performed using a transhiatal route or thoracotomy in 44 and 30% of patients, respectively. Retroesternal ascension was the most common route used in 88% of patients. The most common surgical complication was cervical fistula in 29% of patients, followed by fistula of the anastomosis between colon and jejunum in 7% of patients. Pneumonia was the most common medical complication. Postoperative mortality was 7%. Conclusions: The mortality in this series of patients is similar to that reported elsewhere.

Palabras clave : Esophageal reconstruction; right colon interposition; fistula.

        · resumen en Español     · texto en Español     · Español ( pdf )