Abstract

The Retrospective and prospective study entitled "Prospective and Retrospective study of Colonic Interposition in Benign and Malignant Esophageal Lesion" will be conducted in the Department of Surgery of MGM Medical College and M.Y. Hospital, Indore over a period of 2 year.
 The above table shows the distribution of patients according to presenting complains. 1 (3.3%) patient presented with liquid dysphagia, 23 (76.7%) patients presented with solid and liquid dysphagia and 6 (20.0%) patients presented with solid dysphagia. Majority of the patients had solid and liquid dysphagia. the distribution of patients according to diagnosis. 6 (20.0%) patients had carcinoma esophagus and 24 (80.0%) patients had esophageal strictures. Majority of the patients had esophageal strictures. Comparison of wound site infection. At 2 weeks, 2 (6.7%) patients had wound site infection, which was still present at 1 month and decreased to 1 (3.3%) at 3 months. After 3 months, none of the patients had wound site infection.
 The colon interposition is an alternative option for esophageal reconstruction when the stomach is unavailable the quality of life after colonic transposition compared at postoperative 1 month and 2 year using specially designed QOL questionnaire for coloplasty patients. Our disease specific questionnaire performs well in relation to previously published study which was used same questionnaire asses the quality of life. in post coloplasty patients According to the selected colon graft (left or Right) route of reconstruction, direction of graft various surgical procedures can be considered for colonic reconstruction in present study left colic artery based left colonic graft is used. Regardless of the situation, blood supply of colon graft directly affect the outcome of the surgery.
 Keywords: Colonic, Interposition, Esophageal & Lesion.

Highlights

  • Restoration of gastrointestinal tract continuity after destruction or removal of the esophagus may be accomplished by several methods, one of these being interposition of a segment of colon

  • The above table shows the distribution of patients according to presenting complains. 1 (3.3%) patient presented with liquid dysphagia, 23 (76.7%) patients presented with solid and liquid dysphagia and 6 (20.0%) patients presented with solid dysphagia

  • The colon interposition is an alternative option for esophageal reconstruction when the stomach is unavailable the quality of life after colonic transposition compared at postoperative 1 month and 2 year using specially designed QOL questionnaire for coloplasty patients

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Summary

Introduction

Restoration of gastrointestinal tract continuity after destruction or removal of the esophagus may be accomplished by several methods, one of these being interposition of a segment of colon. Colon interposition for oesophageal replacement was first described almost a century ago[1,2]. The gastric graft, become the first choice to reconstruct esophagus and gastric reconstruction constitutes the standard procedure because of its simplicity (easy to prepare its vascular supply is robust, and its length is adequate, even when brought up to the neck)[3]. When the stomach is not available, the colon is often the choice for esophageal replacement. Challenges of using the colon for reconstruction include the need for three anastomosis, and the complexity of the blood supply that makes selection of the appropriate segment critical. With improvements in the surgical techniques, and in postoperative care, the mortality of Colonic reconstruction has been increasingly reduced

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