Original treatment for ischaemic stenosis of colon interposition: Report of two cases
Abstract Introduction The treatment of ischaemic stenosis of colon interposition for oesophageal replacement remains poorly defined. Case report We report two cases of patients operated for ischaemic stenosis of the cervical extremity of the colon interposition for caustic stenosis of the oesophagus...
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Veröffentlicht in: | European annals of otorhinolaryngology, head and neck diseases head and neck diseases, 2017-02, Vol.134 (1), p.43-45 |
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description | Abstract Introduction The treatment of ischaemic stenosis of colon interposition for oesophageal replacement remains poorly defined. Case report We report two cases of patients operated for ischaemic stenosis of the cervical extremity of the colon interposition for caustic stenosis of the oesophagus. Treatment consisted of resection of the stenosis with creation of a new cervical anastomosis after complete release of the colon graft via a neck and upper midline incision in one patient and a new ileocolic graft exclusively replacing the stenotic segment of the oesophagoplasty in the second patient. Discussion These two cases illustrate the complex treatment modalities required for this complication. Conclusion The treatment of choice of ischaemic stenosis of colon interposition is resection with creation of a new anastomosis, but repeat graft may sometimes be the only available treatment option. |
doi_str_mv | 10.1016/j.anorl.2016.08.004 |
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Case report We report two cases of patients operated for ischaemic stenosis of the cervical extremity of the colon interposition for caustic stenosis of the oesophagus. Treatment consisted of resection of the stenosis with creation of a new cervical anastomosis after complete release of the colon graft via a neck and upper midline incision in one patient and a new ileocolic graft exclusively replacing the stenotic segment of the oesophagoplasty in the second patient. Discussion These two cases illustrate the complex treatment modalities required for this complication. Conclusion The treatment of choice of ischaemic stenosis of colon interposition is resection with creation of a new anastomosis, but repeat graft may sometimes be the only available treatment option.</description><identifier>ISSN: 1879-7296</identifier><identifier>EISSN: 1879-730X</identifier><identifier>DOI: 10.1016/j.anorl.2016.08.004</identifier><identifier>PMID: 27568402</identifier><language>eng</language><publisher>France: Elsevier Masson SAS</publisher><subject>Adult ; Anastomosis, Surgical ; Burns, Chemical - complications ; Burns, Chemical - surgery ; Caustic injury ; Colon - transplantation ; Colon interposition ; Constriction, Pathologic - etiology ; Constriction, Pathologic - surgery ; Esophageal Sphincter, Upper - injuries ; Esophageal Sphincter, Upper - surgery ; Esophagectomy ; Female ; Humans ; Ischaemia ; Ischemia - etiology ; Ischemia - surgery ; Laryngostenosis - etiology ; Laryngostenosis - surgery ; Otolaryngology ; Pharynx - surgery ; Postoperative Complications ; Stenosis ; Transplants - blood supply ; Transplants - surgery</subject><ispartof>European annals of otorhinolaryngology, head and neck diseases, 2017-02, Vol.134 (1), p.43-45</ispartof><rights>Elsevier Masson SAS</rights><rights>2016 Elsevier Masson SAS</rights><rights>Copyright © 2016 Elsevier Masson SAS. 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Case report We report two cases of patients operated for ischaemic stenosis of the cervical extremity of the colon interposition for caustic stenosis of the oesophagus. Treatment consisted of resection of the stenosis with creation of a new cervical anastomosis after complete release of the colon graft via a neck and upper midline incision in one patient and a new ileocolic graft exclusively replacing the stenotic segment of the oesophagoplasty in the second patient. Discussion These two cases illustrate the complex treatment modalities required for this complication. Conclusion The treatment of choice of ischaemic stenosis of colon interposition is resection with creation of a new anastomosis, but repeat graft may sometimes be the only available treatment option.</description><subject>Adult</subject><subject>Anastomosis, Surgical</subject><subject>Burns, Chemical - complications</subject><subject>Burns, Chemical - surgery</subject><subject>Caustic injury</subject><subject>Colon - transplantation</subject><subject>Colon interposition</subject><subject>Constriction, Pathologic - etiology</subject><subject>Constriction, Pathologic - surgery</subject><subject>Esophageal Sphincter, Upper - injuries</subject><subject>Esophageal Sphincter, Upper - surgery</subject><subject>Esophagectomy</subject><subject>Female</subject><subject>Humans</subject><subject>Ischaemia</subject><subject>Ischemia - etiology</subject><subject>Ischemia - surgery</subject><subject>Laryngostenosis - etiology</subject><subject>Laryngostenosis - surgery</subject><subject>Otolaryngology</subject><subject>Pharynx - surgery</subject><subject>Postoperative Complications</subject><subject>Stenosis</subject><subject>Transplants - blood supply</subject><subject>Transplants - surgery</subject><issn>1879-7296</issn><issn>1879-730X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUU1LHTEUDUWpov6CQsnSzZveTGaSTEFBpB-CIPgB3YW8zB3N60zyTPIs_vtm-tRFN2aTr3PuuedcQj4xqBgw8WVVGR_iWNXlUoGqAJoPZJ8p2S0kh187r-e6E3vkKKUVlMWV6qD7SPZq2QrVQL1P7q6iu3fejDRHNHlCn-kQInXJPhicnKUpow_JJRoGasMYPHU-Y1yXt-yC_0qvcR1inr_zn0CtSZgOye5gxoRHL_sBufv-7fb85-Ly6sfF-dnlwrZ1lxeNGQCZAGOUBdkik0sYLDLGi52-sUu2bGU7qFqBrIVQQ2N7DqoXiqtONIYfkONt3XUMjxtMWU-lcRxH4zFskmaq7SRri1iB8i3UxpBSxEGvo5tMfNYM9BypXul_keo5Ug1Klx4K6_OLwGY5Yf_GeQ2wAE62ACw2nxxGnaxDb7F3EW3WfXDvCJz-x7ej886a8Tc-Y1qFTSzDKU50qjXom3mq81CZ4MAaJvlf2FKdbw</recordid><startdate>20170201</startdate><enddate>20170201</enddate><creator>Daldoul, S</creator><creator>Moussi, A</creator><creator>Sayari, S</creator><creator>Ben Moussa, M</creator><general>Elsevier Masson SAS</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170201</creationdate><title>Original treatment for ischaemic stenosis of colon interposition: Report of two cases</title><author>Daldoul, S ; 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Case report We report two cases of patients operated for ischaemic stenosis of the cervical extremity of the colon interposition for caustic stenosis of the oesophagus. Treatment consisted of resection of the stenosis with creation of a new cervical anastomosis after complete release of the colon graft via a neck and upper midline incision in one patient and a new ileocolic graft exclusively replacing the stenotic segment of the oesophagoplasty in the second patient. Discussion These two cases illustrate the complex treatment modalities required for this complication. Conclusion The treatment of choice of ischaemic stenosis of colon interposition is resection with creation of a new anastomosis, but repeat graft may sometimes be the only available treatment option.</abstract><cop>France</cop><pub>Elsevier Masson SAS</pub><pmid>27568402</pmid><doi>10.1016/j.anorl.2016.08.004</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Anastomosis, Surgical Burns, Chemical - complications Burns, Chemical - surgery Caustic injury Colon - transplantation Colon interposition Constriction, Pathologic - etiology Constriction, Pathologic - surgery Esophageal Sphincter, Upper - injuries Esophageal Sphincter, Upper - surgery Esophagectomy Female Humans Ischaemia Ischemia - etiology Ischemia - surgery Laryngostenosis - etiology Laryngostenosis - surgery Otolaryngology Pharynx - surgery Postoperative Complications Stenosis Transplants - blood supply Transplants - surgery |
title | Original treatment for ischaemic stenosis of colon interposition: Report of two cases |
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