PMID: 1211993Aug 1, 1975Paper

Reversed gastric tube (RGT) esophagoplasty for failure of colon, jejunum and prosthetic interpositions

Annals of Surgery
H J Heimlich

Abstract

Reversed gastric tube (RGT) esophagoplasty is preferred by the author as the primary procedure for esophageal replacement. Many patients undergoing RGT esophagoplasty, however, have previously had multiple operative procedures. A particularly challenging problem in esophageal reconstruction is the patient who has already had unsuccessful intestinal or prosthetic interposition operations in attempts to reconstruct the esophagus. In such patients, it has been possible to replace the esophagus by means of the RGT operation. Of 67 RGT esophagoplasties, 9 patients (13.4%) had previous interposition operations that had failed. Six had undergone colon interposition; 2 of these had strictured, 1 had partially sloughed leaving a cervical salivary fistula, and in 1 the proximal end was never patent. In each instance, bypass with RGT was performed without resecting the colon transplant. The colon had necrosed and was removed in 2 patients. Of the remaining 3 patients, in 1 a plastic esophageal prothesis had sloughed and two had free jejunal transplants, 1 of which had impaired vascularity and the other had fibrosed. The specific techniques used to reconstruct the esophagus by reversed gastric tube esophagoplasty, as they relate to this pa...Continue Reading

References

Sep 15, 1962·JAMA : the Journal of the American Medical Association·G B SANDERS

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Citations

May 1, 1986·The Annals of Thoracic Surgery·E Moreno-OssetA Benages
Jun 1, 1979·Annals of Surgery·R W Postlethwait
Jan 1, 1986·Thorax·A C SitgesA S Sitges
Jul 1, 1981·World Journal of Surgery·C E Silver
Jul 1, 1985·The Annals of Thoracic Surgery·C O OlsenR W Postlethwait
May 1, 1976·AORN Journal·D T McCarty
Aug 1, 1976·The Annals of Thoracic Surgery·D B Skinner, T R DeMeester
Aug 1, 1982·Current Problems in Surgery·C G Bremner
Nov 1, 1979·The Annals of Otology, Rhinology, and Laryngology·H J Heimlich, T W O'Connor
Jun 1, 1987·The British Journal of Surgery·A Watson
Aug 1, 1989·The British Journal of Surgery·M Schein, R Saadia
May 1, 1984·Head & Neck Surgery·M I SurkinH F Biller

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