Esophagectomy with Esophagocoloplasty for Malignancies: Indications, Technique (with Video), and Results. Systematic Review of the Literature

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
Paolo AurelloGiovanni Ramacciato

Abstract

Esophagocoloplasty represents a useful technique to restore the intestinal continuity after esophagogastrectomy. This technique has been used mainly after esophagogastric caustic injuries. The aim of this review is to assess the role of esophagogastrectomy with esophagocoloplasty for esophageal or gastric neoplasms. A systematic literature search was performed using Embase, Medline, Cochrane, and PubMed databases to identify all studies published in the previous 25 years (1991-2016) reporting cases of esophagocoloplasty after esophagogastrectomy for malignancies. The systematic review was conducted according to the PRISMA guidelines. The systematic review of the literature shows a morbidity rate of 57% and a mortality rate of 15% in the 93 reported cases of esophagocoloplasty performed for malignant diseases. However, R0 rate ranged from 76.1 to 85%, and 5-year survival was obtained in 11.9-32.8% of patients in the different series. In highly selected cases of primary or relapsing gastric or esophageal neoplasms, esophagogastrectomy with esophagocoloplasty is a viable and useful option, which may guarantee complete tumor resection and long-term survival.

References

Jan 1, 1996·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·E PompeoT Lerut
Jul 23, 2009·Annals of Internal Medicine·David MoherUNKNOWN PRISMA Group
Mar 1, 2012·The Annals of Thoracic Surgery·Mircea ChiricaEmile Sarfati
Aug 14, 2012·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·A Boukerrouche
May 23, 2014·Annals of Surgery·Mircea ChiricaPierre Cattan
Jan 28, 2016·Revista do Colégio Brasileiro de Cirurgiões·Nelson Adami AndreolloValdir Tercioti Junior

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