Comparison of Preoperative CT Colonography and Colonoscopy for Esophageal Reconstruction with Colonic Interposition.

Prasit Mahawongkajit,Nuttorn Boochangkool

doi:10.1155/2020/6585762

Abstract

Colonic evaluation is an essential step before proceeding with esophagectomy to reconstruct by colonic interposition. Colonoscopy is the standard practice for colorectal cancer screening, but it has a chance of failing cecal intubation and carries a risk of horrific adverse events by colonic perforation. CT colonography is a less invasive alternative method reported as useful for colonoscopic screening in cases of average risk of colorectal cancer. This study set out to report our clinical experience and to evaluate CT colonography in the preoperative process for colonic interposition of esophagectomy patients. Data for esophagectomy with colonic interposition patients were retrospectively analyzed and compared the colonoscopy group with the CT colonography group. During eight years, 31 patients, 12 patients in the colonoscopy group and 19 patients in the CT colonography group, included in this study. In both groups, the patient demographic data, procedures, and outcomes were not different. After colonic interposition, endoscopy was performed, and no lesions of conduits were detected. CT colonography is a minimally invasive and reliable option for colonic evaluation method for the patient of average colorectal cancer risk who has undergone esophagectomy with colonic interposition.

Highlights

Two esophageal diseases, namely, esophageal cancer and corrosive esophageal injury, are significant health problems worldwide, especially in developing countries such as ailand [1,2,3,4,5,6]
Colonic evaluation is an essential step before proceeding with esophagectomy to reconstruct by colonic interposition, in a patient who has a high risk for colorectal cancer or is more than 50 years old
Irty-one patients who were informed of colonic interposition procedures and consented to undergo surgery included in this study with 12 patients in the colonoscopy group and 19 patients in the CT colonography group

Summary

Introduction

Esophageal cancer and corrosive esophageal injury, are significant health problems worldwide, especially in developing countries such as ailand [1,2,3,4,5,6]. Colonic evaluation is an essential step before proceeding with esophagectomy to reconstruct by colonic interposition, in a patient who has a high risk for colorectal cancer or is more than 50 years old. Is study aimed to report our clinical experience and to evaluate CT colonography in the preoperative process for colonic interposition of esophagectomy patients.

Results

Conclusion