Details

Autor(en) / Beteiligte

• Domreis, John S.
• Jobe, Blair A.
• Aye, Ralph W.
• Deveney, Karen E.
• Sheppard, Brett C.
• Deveney, Clifford W.

Titel

Management of long-term failure after colon interposition for benign disease

Ist Teil von

• The American journal of surgery, 2002-05, Vol.183 (5), p.544-546

Ort / Verlag

New York, NY: Elsevier Inc

Erscheinungsjahr

2002

Quelle

Elsevier Journal Backfiles on ScienceDirect (DFG Nationallizenzen)

Beschreibungen/Notizen

• Purpose: To assess causes and treatment of late failures of colon interposition. Methods: We reviewed the charts of 6 patients who underwent one or more revisions of a colonic interposition at a mean of 16 years after colon interposition (CI). Results: Symptoms of problems with the CI were dysphagia (67%), regurgitation (67%), pneumonia (40%), and chest pain (33%). Findings that accounted for failure were colonic redundancy (67%), and gastrocolonic reflux (50%). Approach was resection of redundant colon or management of reflux. Four patients underwent segmental resection of the colon preserving blood supply. Three patients had gastric resection or diversion of bile and acid for management of reflux. Treatment was successful in all patients. Conclusion: Late failure of colon interposition is secondary to conduit redundancy and severe reflux. Resection of redundant colon will correct colonic redundancy. Gastric resection or diversion of bile and acid corrects gastrocolonic reflux.