결장간치술을 이용한 식도부식증의 재건Colon Interposition via the Retrosternal Approach without Enlargement of the Thoracic Inlet for the Management of Esophageal Stricture
- Other Titles
- Colon Interposition via the Retrosternal Approach without Enlargement of the Thoracic Inlet for the Management of Esophageal Stricture
- Authors
- 백민관; 우주현; 한승욱; 김동영
- Issue Date
- Nov-2014
- Publisher
- 대한이비인후과학회
- Keywords
- Colon interposition; Esophageal stricture; Thoracic inlet
- Citation
- 대한이비인후과학회지 두경부외과학, v.57, no.11, pp.769 - 773
- Journal Title
- 대한이비인후과학회지 두경부외과학
- Volume
- 57
- Number
- 11
- Start Page
- 769
- End Page
- 773
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/13383
- DOI
- 10.3342/kjorl-hns.2014.57.11.769
- ISSN
- 2092-5859
- Abstract
- Background and Objectives To report our experience of colon interposition without thoracic inlet widening for the management of esophageal stricture.
Subjects and Method Between 2005 and 2012, five patients underwent esophageal replacement using colon graft. Clinical data, such as surgical techniques including thoracic inlet widening, surgical outcomes, and patient’s age and gender were retrospectively analyzed. The follow-up period ranged from 10 months to 5 years.
Results All five patients had corrosive esophageal stricture and underwent colon interposition without thoracic inlet widening; four underwent pharyngocologastrostomy and one total laryngopharyngectomy and pharyngocologastrostomy. No major complications, such as aspiration, dysphagia, reflux, or swallowing disorder developed during the postoperative long term follow-up.
Conclusion A colon graft without enlargement of the thoracic inlet is an excellent esophageal substitute for patients with an esophageal corrosive stricture. Further surgical experience and more long-term follow-up data are required to produce more precise and statistically meaningful results. Korean J Otorhinolaryngol-Head Neck Surg 2014;57(11):769-73
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