Invited commentary The Annals of Thoracic Surgery

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Invited commentary The Annals of Thoracic Surgery Steven DeMeester, MD The Annals of Thoracic Surgery Volume 84, Issue 6, Pages 1852-1853 (December 2007) DOI: 10.1016/j.athoracsur.2007.08.006 Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Postoperative day 1 chest roentgenogram after esophagectomy with left colon interposition (mostly transverse colon based on left colic blood supply). (B) Postoperative day 2 chest roentgenogram in the same patient. Note the new air collection to the left of the hiatus representing herniated cecum and splenic flexure of the colon including the fresh colon-to-colon anastomosis. The colon herniated behind the colon graft, which was anastomosed to the antrum and had been sutured along the lateral edge of the left crus. The posterior crura had not been closed or sutured to the colon interposition, leaving the space through which the hernia occurred. The Annals of Thoracic Surgery 2007 84, 1852-1853DOI: (10.1016/j.athoracsur.2007.08.006) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions