Management of long-term failure after colon interposition for benign disease
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...
Gespeichert in:
| Veröffentlicht in: | The American journal of surgery 2002-05, Vol.183 (5), p.544-546 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 546 |
|---|---|
| container_issue | 5 |
| container_start_page | 544 |
| container_title | The American journal of surgery |
| container_volume | 183 |
| creator | Domreis, John S. Jobe, Blair A. Aye, Ralph W. Deveney, Karen E. Sheppard, Brett C. Deveney, Clifford W. |
| description | 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. |
| doi_str_mv | 10.1016/S0002-9610(02)00827-9 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_71723903</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0002961002008279</els_id><sourcerecordid>71723903</sourcerecordid><originalsourceid>FETCH-LOGICAL-c419t-a1089ab952903f7a9385fc2e0b569d1ae547e46cc13d64a94847d991a39981313</originalsourceid><addsrcrecordid>eNqFkNFqFDEUhoNU7Lb6CMpAsdSL0ZxJZia5KlLaKqx4oV6Hs5mTJWUm2SYzgm9v2l0s9Mark0O-8_PzMfYW-Efg0H36wTlvat0Bv-DNB85V09f6BVuB6nUNSokjtvqHHLOTnO_KCiDFK3YMDRdSKL1i628YcEsThbmKrhpj2NYzpaly6MclUYWurJWN5afyobx3MfvZl83FVG0o-G2oBp8JM71mLx2Omd4c5in7dXP98-pLvf5--_Xq87q2EvRcI3ClcaPbRnPhetRCtc42xDdtpwdAamVPsrMWxNBJ1FLJftAaUGitQIA4Zef73F2K9wvl2Uw-WxpHDBSXbHroG1GyC3j2DLyLSwqlm2lKqJRFTluodk_ZFHNO5Mwu-QnTHwPcPMg2j7LNg0lT5qNso8vdu0P6sploeLo62C3A-wOA2eLoEgbr8xMnSk0p-sJd7jkq0n57SiZbT8HS4BPZ2QzR_6fKXxoymYs</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2847449615</pqid></control><display><type>article</type><title>Management of long-term failure after colon interposition for benign disease</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals Complete</source><source>ProQuest Central</source><creator>Domreis, John S. ; Jobe, Blair A. ; Aye, Ralph W. ; Deveney, Karen E. ; Sheppard, Brett C. ; Deveney, Clifford W.</creator><creatorcontrib>Domreis, John S. ; Jobe, Blair A. ; Aye, Ralph W. ; Deveney, Karen E. ; Sheppard, Brett C. ; Deveney, Clifford W.</creatorcontrib><description>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.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/S0002-9610(02)00827-9</identifier><identifier>PMID: 12034389</identifier><identifier>CODEN: AJSUAB</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Abdomen ; Acids ; Anorexia ; Bile ; Biological and medical sciences ; Colon ; Colon - transplantation ; Colon interposition ; Digestive System Surgical Procedures - adverse effects ; Dysphagia ; Endoscopy ; Esophageal Diseases - surgery ; Esophageal replacement ; Esophagectomy ; Esophagus ; Failure ; Female ; Fistula ; Gastroenterology. Liver. Pancreas. Abdomen ; Gastrointestinal surgery ; Humans ; Long-term outcomes ; Male ; Medical sciences ; Middle Aged ; Other diseases. Semiology ; Patients ; Pneumonia ; Postoperative Complications - etiology ; Redundancy ; Regurgitation ; Reoperation ; Signs and symptoms ; Stomach ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the digestive system ; Time Factors ; Treatment Failure ; Ulcers</subject><ispartof>The American journal of surgery, 2002-05, Vol.183 (5), p.544-546</ispartof><rights>2002 Excerpta Medica Inc.</rights><rights>2002 INIST-CNRS</rights><rights>2002. Excerpta Medica Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c419t-a1089ab952903f7a9385fc2e0b569d1ae547e46cc13d64a94847d991a39981313</citedby><cites>FETCH-LOGICAL-c419t-a1089ab952903f7a9385fc2e0b569d1ae547e46cc13d64a94847d991a39981313</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2847449615?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>309,310,314,780,784,789,790,3550,23930,23931,25140,27924,27925,45995,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13723437$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12034389$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Domreis, John S.</creatorcontrib><creatorcontrib>Jobe, Blair A.</creatorcontrib><creatorcontrib>Aye, Ralph W.</creatorcontrib><creatorcontrib>Deveney, Karen E.</creatorcontrib><creatorcontrib>Sheppard, Brett C.</creatorcontrib><creatorcontrib>Deveney, Clifford W.</creatorcontrib><title>Management of long-term failure after colon interposition for benign disease</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>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.</description><subject>Abdomen</subject><subject>Acids</subject><subject>Anorexia</subject><subject>Bile</subject><subject>Biological and medical sciences</subject><subject>Colon</subject><subject>Colon - transplantation</subject><subject>Colon interposition</subject><subject>Digestive System Surgical Procedures - adverse effects</subject><subject>Dysphagia</subject><subject>Endoscopy</subject><subject>Esophageal Diseases - surgery</subject><subject>Esophageal replacement</subject><subject>Esophagectomy</subject><subject>Esophagus</subject><subject>Failure</subject><subject>Female</subject><subject>Fistula</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Gastrointestinal surgery</subject><subject>Humans</subject><subject>Long-term outcomes</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Other diseases. Semiology</subject><subject>Patients</subject><subject>Pneumonia</subject><subject>Postoperative Complications - etiology</subject><subject>Redundancy</subject><subject>Regurgitation</subject><subject>Reoperation</subject><subject>Signs and symptoms</subject><subject>Stomach</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the digestive system</subject><subject>Time Factors</subject><subject>Treatment Failure</subject><subject>Ulcers</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkNFqFDEUhoNU7Lb6CMpAsdSL0ZxJZia5KlLaKqx4oV6Hs5mTJWUm2SYzgm9v2l0s9Mark0O-8_PzMfYW-Efg0H36wTlvat0Bv-DNB85V09f6BVuB6nUNSokjtvqHHLOTnO_KCiDFK3YMDRdSKL1i628YcEsThbmKrhpj2NYzpaly6MclUYWurJWN5afyobx3MfvZl83FVG0o-G2oBp8JM71mLx2Omd4c5in7dXP98-pLvf5--_Xq87q2EvRcI3ClcaPbRnPhetRCtc42xDdtpwdAamVPsrMWxNBJ1FLJftAaUGitQIA4Zef73F2K9wvl2Uw-WxpHDBSXbHroG1GyC3j2DLyLSwqlm2lKqJRFTluodk_ZFHNO5Mwu-QnTHwPcPMg2j7LNg0lT5qNso8vdu0P6sploeLo62C3A-wOA2eLoEgbr8xMnSk0p-sJd7jkq0n57SiZbT8HS4BPZ2QzR_6fKXxoymYs</recordid><startdate>20020501</startdate><enddate>20020501</enddate><creator>Domreis, John S.</creator><creator>Jobe, Blair A.</creator><creator>Aye, Ralph W.</creator><creator>Deveney, Karen E.</creator><creator>Sheppard, Brett C.</creator><creator>Deveney, Clifford W.</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</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>3V.</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20020501</creationdate><title>Management of long-term failure after colon interposition for benign disease</title><author>Domreis, John S. ; Jobe, Blair A. ; Aye, Ralph W. ; Deveney, Karen E. ; Sheppard, Brett C. ; Deveney, Clifford W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c419t-a1089ab952903f7a9385fc2e0b569d1ae547e46cc13d64a94847d991a39981313</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Abdomen</topic><topic>Acids</topic><topic>Anorexia</topic><topic>Bile</topic><topic>Biological and medical sciences</topic><topic>Colon</topic><topic>Colon - transplantation</topic><topic>Colon interposition</topic><topic>Digestive System Surgical Procedures - adverse effects</topic><topic>Dysphagia</topic><topic>Endoscopy</topic><topic>Esophageal Diseases - surgery</topic><topic>Esophageal replacement</topic><topic>Esophagectomy</topic><topic>Esophagus</topic><topic>Failure</topic><topic>Female</topic><topic>Fistula</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Gastrointestinal surgery</topic><topic>Humans</topic><topic>Long-term outcomes</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Other diseases. Semiology</topic><topic>Patients</topic><topic>Pneumonia</topic><topic>Postoperative Complications - etiology</topic><topic>Redundancy</topic><topic>Regurgitation</topic><topic>Reoperation</topic><topic>Signs and symptoms</topic><topic>Stomach</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the digestive system</topic><topic>Time Factors</topic><topic>Treatment Failure</topic><topic>Ulcers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Domreis, John S.</creatorcontrib><creatorcontrib>Jobe, Blair A.</creatorcontrib><creatorcontrib>Aye, Ralph W.</creatorcontrib><creatorcontrib>Deveney, Karen E.</creatorcontrib><creatorcontrib>Sheppard, Brett C.</creatorcontrib><creatorcontrib>Deveney, Clifford W.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest research library</collection><collection>Research Library (Corporate)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Domreis, John S.</au><au>Jobe, Blair A.</au><au>Aye, Ralph W.</au><au>Deveney, Karen E.</au><au>Sheppard, Brett C.</au><au>Deveney, Clifford W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Management of long-term failure after colon interposition for benign disease</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>2002-05-01</date><risdate>2002</risdate><volume>183</volume><issue>5</issue><spage>544</spage><epage>546</epage><pages>544-546</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><coden>AJSUAB</coden><abstract>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.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>12034389</pmid><doi>10.1016/S0002-9610(02)00827-9</doi><tpages>3</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0002-9610 |
| ispartof | The American journal of surgery, 2002-05, Vol.183 (5), p.544-546 |
| issn | 0002-9610 1879-1883 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_71723903 |
| source | MEDLINE; Elsevier ScienceDirect Journals Complete; ProQuest Central |
| subjects | Abdomen Acids Anorexia Bile Biological and medical sciences Colon Colon - transplantation Colon interposition Digestive System Surgical Procedures - adverse effects Dysphagia Endoscopy Esophageal Diseases - surgery Esophageal replacement Esophagectomy Esophagus Failure Female Fistula Gastroenterology. Liver. Pancreas. Abdomen Gastrointestinal surgery Humans Long-term outcomes Male Medical sciences Middle Aged Other diseases. Semiology Patients Pneumonia Postoperative Complications - etiology Redundancy Regurgitation Reoperation Signs and symptoms Stomach Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system Time Factors Treatment Failure Ulcers |
| title | Management of long-term failure after colon interposition for benign disease |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-28T07%3A13%3A00IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Management%20of%20long-term%20failure%20after%20colon%20interposition%20for%20benign%20disease&rft.jtitle=The%20American%20journal%20of%20surgery&rft.au=Domreis,%20John%20S.&rft.date=2002-05-01&rft.volume=183&rft.issue=5&rft.spage=544&rft.epage=546&rft.pages=544-546&rft.issn=0002-9610&rft.eissn=1879-1883&rft.coden=AJSUAB&rft_id=info:doi/10.1016/S0002-9610(02)00827-9&rft_dat=%3Cproquest_cross%3E71723903%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2847449615&rft_id=info:pmid/12034389&rft_els_id=S0002961002008279&rfr_iscdi=true |