Reflux after esophagectomy and interposition of right colon

To determine the nature of reflux after esophagectomy and interposition of right colon. A case series. A university hospital. Five patients (mean age 43 years) in whom right colon had been interposed after total esophagectomy. Endoscopy and biopsy, manometry, 24-hour ambulatory pH testing. Endoscopi...

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Veröffentlicht in:Canadian Journal of Surgery 1994-08, Vol.37 (4), p.289-292
Hauptverfasser: Shoenut, J P, Micflikier, A B, Wieler, J A, Riese, K T, McGoey, J S
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container_title Canadian Journal of Surgery
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creator Shoenut, J P
Micflikier, A B
Wieler, J A
Riese, K T
McGoey, J S
description To determine the nature of reflux after esophagectomy and interposition of right colon. A case series. A university hospital. Five patients (mean age 43 years) in whom right colon had been interposed after total esophagectomy. Endoscopy and biopsy, manometry, 24-hour ambulatory pH testing. Endoscopic and histologic appearances of the colon, type of motor activity in the grafted colon and the type of reflux. In all patients the grafted colon was macroscopically and microscopically normal. There was nonperistaltic motor activity in the interposed colon in two patients. All patients had an abnormal pattern of alkaline reflux, and one patient had abnormal acid reflux. The clinical effect of alkaline reflux in patients with colonic interposition after total esophagectomy may be slight. Histologic and gross changes are likely to be minimal.
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Adult
Colon - transplantation
Esophagectomy - adverse effects
Esophagoplasty
Gastroesophageal Reflux - etiology
Gastroesophageal Reflux - physiopathology
Gastroesophageal Reflux - surgery
Humans
Hydrogen-Ion Concentration
Male
Manometry
Middle Aged
Monitoring, Physiologic
title Reflux after esophagectomy and interposition of right colon
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