Effect of Venous Superdrainage on Colon Interposition for Esophageal Reconstruction

When performing esophageal reconstruction, a colonic pedicle graft is chosen as the next candidate to the stomach because of complications arising from the operation time and vascular anastomosis. Vascular anastomosis is not necessarily required for pedicle grafts, but it is necessary to perform add...

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Veröffentlicht in:Journal of UOEH 2020/12/01, Vol.42(4), pp.331-334
Hauptverfasser: TAKEUCHI, Masahiro, ONODA, Masahiko, YOSHIDA, Kumiko, IWAMURA, Michinori, FURUTANI, Akira, KAWANO, Kazuaki, KATHO, Tomoe
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container_end_page 334
container_issue 4
container_start_page 331
container_title Journal of UOEH
container_volume 42
creator TAKEUCHI, Masahiro
ONODA, Masahiko
YOSHIDA, Kumiko
IWAMURA, Michinori
FURUTANI, Akira
KAWANO, Kazuaki
KATHO, Tomoe
description When performing esophageal reconstruction, a colonic pedicle graft is chosen as the next candidate to the stomach because of complications arising from the operation time and vascular anastomosis. Vascular anastomosis is not necessarily required for pedicle grafts, but it is necessary to perform additional vascular anastomosis in some cases. We herein report a case of superdrainage in which anastomosis of the colonic vein and the right internal thoracic vein was effective against congestion. A 68-year-old man with thoracic esophageal cancer and pyloric antrum gastric cancer was referred to our hospital. Complete resection was performed with subtotal esophageal resection and total gastrectomy. We added superdrainage (right internal thoracic vein – ileocolic vein) to the colonic pedicle graft, which showed congestion, and performed esophageal reconstruction. Venous superdrainage using a colonic pedicle graft is effective for esophageal reconstruction.
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source J-STAGE Free; MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Aged
Anastomosis, Surgical - methods
Colon - blood supply
Colon - surgery
Colon - transplantation
colonic pedicle graft
esophageal cancer
Esophageal Neoplasms - surgery
Esophagus - blood supply
Esophagus - surgery
Gastrectomy - methods
Humans
Male
Neoplasms, Multiple Primary - surgery
Reconstructive Surgical Procedures - methods
Stomach Neoplasms - surgery
superdrainage
Treatment Outcome
Veins - surgery
title Effect of Venous Superdrainage on Colon Interposition for Esophageal Reconstruction
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