eISSN: 2300-6722
ISSN: 1899-1874
Medical Studies/Studia Medyczne
Current issue Archive About the journal Supplements Abstracting and indexing Subscription Contact Instructions for authors
vol. 33
Review paper

Hypervascularisation of colonic graft for oesophageal replacement: literature review and own experience

Aliaksandr Varabei, Yezhy Vizhynis, Anvar Makhmudov, Dzmitry Chepik, Yury Arlouski, Margarita Gulevich

Medical Studies/Studia Medyczne 2017; 33 (3): 240–246
Online publish date: 2017/09/30
View full text
Get citation
JabRef, Mendeley
Papers, Reference Manager, RefWorks, Zotero
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.

oesophagoplasty, colonic graft, hypervascularisation

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.
Ahmed A, Spitz L. The outcome of colonic replacement of the esophagus in children. Prog Pediatr Surg 1986; 18: 37-54.
Freeman NV, Cass DT. Colon interposition: a modification of the Waterston technique using the normal esophageal route. J Pediatr Surg 1982; 17: 17-21.
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.
Seldinger SI. Catheter replacement of the needle in percutaneous arteriography: a new technique. Acta Radiol 1953; 39: 368-76.
Marston A. Vascular Disease of the Gut: Pathophysiology, Recognition and Management. E. Arnold, London 1985.
Ventemiglia R, Khalil KG, Frazier OH, Mountain CF. The role of preoperative arteriography in colon interposition. Surg 1977; 74: 98-104.
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.
Beck AR, Baranofsky ID. A study of the left colon as a replacement for the resected esophagus. Surgery 1960; 48: 499-509.
Pouyet M, Berard PH, Bousquet G. Documents anatomiques sur l’emploi du colon transverse isoperistaltique pour oesophagoplastie. Lyon Chir 1967; 63: 199-207.
Kralik J, Turek K. Die Wichtigkeit des Venosen Abflusses aus dem zur osophagoplastik verwendeten kolon-transplantat. Zentralbl Chir 1967; 44: 2772-6.
Nick R. Colonic replacement of the oesophagus. Some observations on infarction and wound leakage. Br J Surg 1967; 54: 124-8.
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.
Fisher DF, Fry FJ. Collateral mesenteric circulation. Surg Gynec Obstet 1987; 164: 487-92.
De Meester TR. Esophageal replacement with colon interposition. Oper Tech Cardiac Thorac Surg 1997; 2: 73-86.
Peters JH, Kronson JW, Katz M, De Meester TR. Arterial anatomic considerations in colon interposition for esophageal replacement. Arch Surg 1997; 130: 858-63.
De Meester TR, Kauer WK. Esophageal reconstruction. The colon as an esophageal substitute. Dis Esophagus 1995; 8: 20-9.
Wain JC, Wright CD, Kuo EY, Moncure AC, Wilkins EW, Grillo HC, Mathisen DJ. Long-segment colon interposition for acquired esophageal disease. Ann Thorac Surg 1999; 67: 313-8.
Furst H, Hartl WH, Lohe F, Schilberg FW. Colon interposition for esophageal replacement. Ann Surg 2000; 231: 173-8.
Loinaz C, Altorki NK. Pitfalls and complications of colon interposition. Chest Surg Clin North Am 1997; 7: 533-49.
Wilkins EW. Long-segment colon substitution for the esophagus. Ann Surg 1980; 192: 720-5.
Yasuda T, Shiozaki H. Esophageal reconstruction using a pedicled jejunum with microvascular augmentation. Ann Thorac Cardiovasc Surg 2011; 17: 103-9.
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.
Orringer MB. Reversing esophageal discontinuity. Sem Thorac Cardiovasc Surg 2007; 19: 47-55.
Lees W. Colonic replacement after pharyngolaryngectomy. Br J Surg 1967; 54: 541-7.
Carrel A. The surgery of blood vessels etc. John Hopkins Hosp Bull 1907; 190: 18-28.
Longmire WP Jr. A modification of the Roux technique for antethoracic esophageal reconstruction. Surgery 1947; 22: 94-100.
Longmire WP Jr. Congenital atresia and tracheoesophageal fistula four consecutive cases of successful primary esophageal anastomosis. Arch Surg 1947; 55: 330-8.
Androsov PI. Blood supply of mobilized intestineused for an artificial esophagus. AMA Arch Surg 1956; 73: 917-26.
Seidenberg B, Rosenak SS, Herwitt ES. Immediate reconstruction of the cervical esophagus by a revascularized isolated jejunal segment. Ann Surg 1959; 149: 162.
Schwabegger HH, Ninkovi MM, Morigyl B, Waldenberger P, Brenner E. Internal mammary veins: classification and surgical use in free-tissue transfer. J Reconstr Microsurg 1997; 13: 17-23.
Wormuth J, Heitmiller RF. Esophageal conduit necrosis. Thorac Surg Clin 2006; 16: 11-2.
Ascioti AJ, Hotstetter WL, Miller MJ, Rice DC, Swischer SW. Long-segment, supercharged, pedicled jejunal flap for total esophageal reconstruction. J Thorac Cardiovasc Surg 2005; 130: 1391-8.
Swisher SW, Hofstetter WL, Miller MJ. The Supercharged microvascular jejunal interposition. Semin Thorac Cardiovasc Surg 2007; 19: 56-65.
Heitmiller RF, Gruber PJ, Swier P, Singh N. Long-segment substernal flap with internal mammary vascular augmentation. Dis Esophagus 2000; 13: 240-2.
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.
Golshani SD, Lee C, Cass D. Microvascular “supercharged” cervical colon: minimizing ischemia in esophageal reconstruction. Ann Plast Surg 1999; 43: 533-8.
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.
Veksner BG. Presternal esophagus. Nov Khir Arkhiv 1931; 248-51 (In Russian).
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.
Hadidi AT. A technique to improve vascularity in colon replacement of the esophagus. Eur J Pediatr Surg 2006; 16: 39-44.
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).
Varabei AV, Vizhinis EI, Popel G, Chepik DA, Maskalik ZG, Makhmudov AM. Post-burn cicatrical stricture of the esophagus: reesophagoplasty. Novosti Khirurgii 2016; 3: 8-22 (In Russian).
Sarli L, Iusco D, Violi V, Roncoroni L. Subtotal colectomy with antiperistaltic cecorectal anastomosis. Tech Coloproctol 2002; 6: 23-6.
Quick links
© 2018 Termedia Sp. z o.o. All rights reserved.
Developed by Bentus.
PayU - płatności internetowe