Posterior Cologastric Anastomosis: An Effective Antireflux Mechanism in Colonic Replacement of the Esophagus Amr Abdelhamid AbouZeid, MD, Ahmed Medhat.

Slides:

Advertisements

Similar presentations

Differential Response to Preoperative Chemoradiation and Surgery in Esophageal Adenocarcinomas Based on Presence of Barrett's Esophagus and Symptomatic.

Advertisements

Results of Coronary Artery Endarterectomy and Coronary Artery Bypass Grafting for Diffuse Coronary Artery Disease Srikrishna Sirivella, MD, Isaac Gielchinsky,

Fasciocutaneous Flap in Esophageal Stricture With Ventriculoperitoneal Shunt Yong Won Seong, MD, Chang Hyun Kang, MD, PhD, Hak Chang, MD, PhD, In Kyu.

Resection of Esophageal Carcinoma During Pregnancy

The STS National Database

Manuel Caceres, MD, Darryl S. Weiman, MD, JD

Ninh T. Nguyen, MD, Cam-Ly Tran, MD, Dmitri V

Outcomes of Reintervention on the Autograft After Ross Procedure

Adenocarcinoma in a 40-Year-Old Colonic Interposition Treated With Ivor Lewis Esophagectomy and Esophagogastric Anastomosis David D. Shersher, MD, Edward.

Bilateral Double Free-Flaps for Reconstruction of Extensive Chest Wall Defect Emre Gazyakan, MD, Holger Engel, MD, Marcus Lehnhardt, MD, PhD, Michael.

Spiral Tracheoplasty After Tangential Resection of Trachea

Palliation of Concomitant Tracheobronchial and Esophageal Disease Using a Combined Airway and Esophageal Approach Basil S. Nasir, MBBCh, Mehdi Tahiri,

Amr Mohammad Allama, MD The Annals of Thoracic Surgery

Surgical Ventricular Restoration: Is There Any Difference in Outcome Between Anterior and Posterior Remodeling? Andrea Garatti, MD, Serenella Castelvecchio,

Long Esophageal Segment Laceration Caused by an Orogastric Tube During Laparoscopic Sleeve Gastrectomy Sang Kuon Lee, MD, Jongho Lee, MD The Annals.

Elliot L. Servais, MD, Brendon M. Stiles, MD, Jason A

The Use of Self-Expanding Silicone Stents in Esophagectomy Strictures: Less Cost and More Efficiency Robert C.G. Martin, MD, Charles Woodall, MD, Ryan.

Michael L. Bailey, MBBS, Sven M. Richter, MD, Daniel V

Surgical Repair of Long-Segment Cervical Esophageal Injury With a Sternocleidomastoid Myocutaneous Flap Juan A. Sanchez, MD, Lucian Panait, MD The Annals.

Hassan Najafi, May 22, 1930–May 20, 2017 David M. Shahian, MD, L. Penfield Faber, MD, Douglas J. Mathisen, MD The Annals of Thoracic Surgery Volume.

Ni Zhang, MD, Qin-zi Xu, MD, Xiang-ning Fu, MD, Wei Sun, MD

Roux-en-Y Near Esophagojejunostomy for Intractable Gastroesophageal Reflux After Antireflux Surgery Omar Awais, DO, James D. Luketich, MD, John Tam,

Origins of the Cardiothoracic Surgery Network (CTSNet)

A New Option for Autologous Anterior Chest Wall Reconstruction: The Composite Thoracodorsal Artery Perforator Flap Sandy Dast, MD, Pascal Berna, MD,

James D. St. Louis, MD The Annals of Thoracic Surgery

Mariano E. Brizzio, MD, Alex Zapolanski, MD, Richard E

Who Do You Say You Are? The Annals of Thoracic Surgery

Foreign Body Retained in the Esophagus for More Than a Decade: Thoracic Esophagotomy for Retrieval Olusola Oduntan, MD, James Bardes, MD, Karthik Penumesta,

Isolated Huge Aneurysm of the Left Main Coronary Artery in a 22-Year-Old Patient With Type 1 Neurofibromatosis Margaux Pontailler, MD, Didier Vilarem,

Transthoracic Repair of Slipped Nissen Fundoplications: Technique and Results Ruchir Puri, MD, Adam M. Cline, MD, MS, Daniel T. DeArmond, MD, Scott B.

Use of Amiodarone After Major Lung Resection

Mengu Ma Tooh, MD, Sabine Vasseur Maurer, MD, Olivier Reinberg, MD

Kuthan Kavakli, MD, Deniz Dogan, MD, Sedat Gurkok

Sternal Closure With Tie Bands: A Word of Caution

Retrosternal Implantation of the Cardioverter-Defibrillator Lead in an Infant Hiroaki Hata, MD, PhD, Naokata Sumitomo, MD, PhD, Toshiko Nakai, MD, PhD,

Ömer Özkan, MD, Özlenen Özkan, MD, Matteo Amoroso, MD

Dysphagia in the Young Male: The Ringed Esophagus

Foreign Bodies in the Esophagus

Anastasios K. Konstantakos, MD, R. Thomas Temes, MD

Daniel L. Miller, MD, Gerald A. Helms, MD, William R. Mayfield, MD

Embolized Methyl Methacrylate to the Right Atrium After Kyphoplasty

Hisashi Ishikura, MD, PhD, Suguru Kimura, MD, PhD

Editorial Board, January 2010

Bradford B. Smith, MD, Matthew A

Statin in Combination With β-Blocker Therapy Reduces Postoperative Stroke After Coronary Artery Bypass Graft Surgery Denis Bouchard, MD, Michel Carrier,

Completely Thrombosed Tricuspid Pouch Mimicking a Cardiac Tumor

Surgical Treatment of Squamous Carcinoma in an Antethoracic Skin Tube Used for Esophageal Replacement Matthew P. Fox, MD, Douglas J. Mathisen, MD The.

The Unifocal Bilateral Bidirectional Cavopulmonary Anastomosis

Jian Hu, MD, Renyuan Li, MD, Li Sun, MD, Yiming Ni, MD

Tracheal Reconstruction in the Pediatric Population: How I Teach It

Fasciocutaneous Flap in Esophageal Stricture With Ventriculoperitoneal Shunt Yong Won Seong, MD, Chang Hyun Kang, MD, PhD, Hak Chang, MD, PhD, In Kyu.

Transthoracic Esophagectomy Using Endobronchial Blocker After Previous Pneumonectomy Haifeng Wang, MD, Ji Liu, MD, Chao Jiang, MD, Ming Liu, MD, Gening.

Richard K. Freeman, MD, Jaclyn M. Van Woerkom, RN, BSN, Anthony J

Invited Commentary The Annals of Thoracic Surgery

The American Board of Thoracic Surgery: Update

An Easy and Useful Exposure Technique Using a Malleable Ring for the Distal Anastomosis in Total Arch Replacement Shigehiko Tokunaga, MD, Shota Yasuda,

“Transitions” for Cardiothoracic Surgeons Now Listed on the Web:

Posttraumatic Main Left Bronchial Rupture

Catheter-Based Endoscopic Bypass Grafting: An Experimental Feasibility Study Stephan Jacobs, MD, David Holzhey, MD, Hubert Stein, BS, BME, Friedrich W.

Substernal Colonic Interposition After Previous Coronary Artery Bypass Graft in a Patient With a Patent Left Internal Thoracic Artery Graft: A Surgical.

Sequential Bypass Grafting on the Beating Heart: Blood Flow Characteristics Marek Gwozdziewicz, MD, PhD, Petr Němec, MD, PhD, Martin Šimek, MD, Roman.

Dumbor L. Ngaage, MD, FRCS (C-Th), Michael E. Cowen, FRCS

Henning A. Gaissert, MD, Ning Lin, BS, John C

The Impact of New Technology on Cardiothoracic Surgical Practice

Slide Tracheoplasty in Infants and Children: Risk Factors for Prolonged Postoperative Ventilatory Support Peter B. Manning, MD, Michael J. Rutter, MD,

Invited commentary The Annals of Thoracic Surgery

Wrapping of the Ascending Aorta in Acute Type A Retrograde Aortic Dissection Ramzi Ramadan, MD, Alexandre Azmoun, MD, Nawwar Al-Attar, FRCS, PhD, Remi.

J. Alberto Lopez, MD The Annals of Thoracic Surgery

Use of Baclofen in the Treatment of Esophageal Stent-Related Hiccups

How I Teach Hemi-Arch Replacement

Presentation transcript:

Posterior Cologastric Anastomosis: An Effective Antireflux Mechanism in Colonic Replacement of the Esophagus Amr Abdelhamid AbouZeid, MD, Ahmed Medhat Zaki, MD, Hesham Soliman Safoury, MD The Annals of Thoracic Surgery Volume 101, Issue 1, Pages 266-273 (January 2016) DOI: 10.1016/j.athoracsur.2015.06.074 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Four-year-old boy underwent colon bypass for postcorrosive esophageal stricture. (A) The level of the distal end of the colonic flap is a fixed point distal to its pedicle. The level of the proximal end of the flap required to reach up to the esophagus in the neck is exactly measured using a tape as shown. (B) After exclusion of the required length of the colonic flap, the intestinal continuity is restored by a colocolic anastomosis. The Annals of Thoracic Surgery 2016 101, 266-273DOI: (10.1016/j.athoracsur.2015.06.074) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Four-year-old boy underwent colon bypass for postcorrosive esophageal stricture. Combination of a posterior cologastric anastomosis with the retrosternal colon bypass was performed. (A) The greater curvature of the stomach is held upward, exposing the posterior surface of the stomach. (B) The cologastric anastomosis is completed on the back of the stomach. (C) The colonic conduit passes upward through the retrosternal tunnel and downward behind the stomach (St.) The Annals of Thoracic Surgery 2016 101, 266-273DOI: (10.1016/j.athoracsur.2015.06.074) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Postoperative gastrogram to check for the presence of gastrocolic reflux is performed in (A) a 7-month-old girl from the first group (anterior cologastric anastomosis), showing major gastrocolic reflux; and (B) a 21-month-old boy and (C) a 9-month-old girl from the second group (posterior cologastric anastomosis), showing no gastrocolic reflux. The Annals of Thoracic Surgery 2016 101, 266-273DOI: (10.1016/j.athoracsur.2015.06.074) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Six-year-old boy (from the first group) presenting at follow-up with severe dyspeptic symptoms (hematemesis and loss of weight). (A, B) This patient was successfully managed operatively by transferring the cologastric anastomosis from the front to the back of the stomach (St). (C) Preoperative contrast study through the gastrostomy showed major gastrocolic reflux. (D) Postoperative gastrogram showing complete disappearance of the reflux. The Annals of Thoracic Surgery 2016 101, 266-273DOI: (10.1016/j.athoracsur.2015.06.074) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions