[01] Abdelkader Boukerrouche, Department of Digestive Surgery, Beni-Messous Hospital, University of Algiers, Algiers, Algeria.

Since the first use of the colon for esophageal reconstruction by Kelling and Vulliet, the colon reconstruction became a reliable surgical option to reconstruct partially or totally the diseased esophagus. Over the time, the efficacy of colon graft has been thoroughly evaluated and definitively attested by competent surgeons. However the selection of colon segment and completion of the esophageal anastomosis constitute the greatest challenge during esophageal reconstruction. Furthermore the selection of an optimal colon graft should be based on the adequacy of blood supply and the length of reconstruction. The viability and function of the graft affect greatly surgical outcome and functional results. Therefore, knowledge of risk factors, diagnosis, management, and prevention of colon graft necrosis is key to understand and to perform successfully an esophageal reconstructive surgery.

Esophageal Reconstruction, Colon Graft, Necrosis

[01] Kelling GE. Öesophagoplastik mit Hilf des Querkolon. Semin Med 1911;38:1209–12. [02] Vuillet H. De l’oesophagoplastie et des diverses modifi cations. Semin Med 1911;31:529–30. [03] Belsey R. Reconstruction of the esophagus with left colon. J Thorac Surg 1965; 49: 33–55. [04] Skinner D B. Esophageal reconstruction. Am J Surg 1980; 139: 810–14. [05] DeMeester T R, Kauer W K H. Esophageal reconstruction: The colon as an esophageal substitute. Dis Esoph 1995; 8:20–9. [06] Orringer MB, Sloan H. Substernal gastric bypass of the excluded thoracic esophagus for palliation of esophageal carcinoma. J Thorac Cardiovasc Surg 1975;70:836–51. [07] Yoichi Hamai, Jun Hihara, Manabu Emi, Yoshiro Aoki, Morihito Okada Esophageal reconstruction using the terminal ileum and right colon in esophageal cancer surgery. Surg Today (2012) 42:342–350 [08] Cerfolio RJ, Allen MS, Deschamps C, Trastek VF, Pairolero PC. Esophageal replacement by colon interposition. Ann Thorac Surg 1995;59:1382–4. [09] Wain JC, Wright CD, Kuo EY, Moncure AC, Wilkins EW, Grillo HC, et al. Long-segment colon interposition for acquired Esophageal disease. Ann Thorac Surg 1999;67:313–8. [10] DeMeester T R, Johansson K E, Franze I et al. Indications, surgical technique, and long-term functional results of colon interposition or bypass. Ann Surg 1988; 208: 460-74. [11] Popovici Z. A new philosophy in esophageal reconstruction with colon. Thirty-years experience. Dis Esophagus. 2003;16:323–7. [12] Katsoulis IE, Robotis I, Kouraklis G, Yannopoulos P. Duodenogastric reflux after esophagectomy and gastric pull-up: the effect of the route of reconstruction. World J Surg 2005;29:174e81. [13] Lerut T, Coosemans W, Decker G, et al. Anastomotic complications after esophagectomy. Dig Surg 2002;19:92. [14] Akiyama H, Miyazono H, Tsurumaru M, Hashimoto C,Kawamura T. Use of the stomach as an esophageal substitute. Ann Surg 1978; 188: 606-610. [15] Wilkins EW Jr. Long-segment colon substitution for the esophagus. Ann Surg 1980;192:722–5. [16] Neville WE, Najem AZ. Colon replacement of the esophagus for congenital and benign disease. Ann Thorac Surg 1983;36:626–33. [17] Bassiouny IE, Al-Ramadan SA, Al-Nady A. Long-term functional results of transhiatal oesophagectomy and colonic interposition for caustic oesophageal stricture. Eur J Pediatr Surg 2002; 12: 243-247. [18] Bothereau H, Munoz-Bongrand N, Lambert B, Montemagno S,Cattan P, Sarfati E. Esophageal reconstruction after caustic injury: is there still a place for right coloplasty? Am J Surg 2007; 193: 660-4. [19] Abdelkader Boukerrouche.15-year Personal Experience of Esophageal Reconstruction by Left Colic Artery-dependent Colic Graft for Caustic Stricture: Surgical Technique and Postoperative Results. Journal of GHR 2016 February 21 5(1): 1931-1937 [20] Moreno-Osset E, Tomas-Ridocci M, Paris F, Mora F, Garcia-Zarza A, Molina R, et al. Motor activity of esophageal substitute(stomach, jejunal, and colon segments). Ann Thorac Surg 1986; 41:515–9. [21] Davis PA, Law S, Wong J. Colonic interposition after esophagectomy for cancer. Arch Surg 2003;138:303–8. [22] Orringer MB, Marshall B, Iannettoni MD. Eliminating the esophagogastric anastomotic leak with a side-to-side stapled anastomosis. J Thorac Cardiovasc Surg 2000;119:277e88. [23] Thomas P, Fuentes P, Giudicelli R, Reboud E. Colon interposition for esophageal replacement: current indications and long-term function. Ann Thorac Surg 1997;64:757–64. [24] Fujita H, Yamana H, Sueyoshi S, Shima I, Fujii T, Shirouzu K, et al. Impact on outcome of additional microvascular anastomosis — supercharge — on colon interposition for esophageal replacement: comparative and multivariate analysis. World J Surg 1997;21: 998–1003. [25] Metzger J, Degen L, Beglinger C, von Flüe M, Harder F. Clinical outcome and quality of life after gastric and distal esophagus replacement with an ileocolon interposition. J Gastrointest Surg 1999;3:383–8. [26] Dowson HMP, Straus D, Ng R, Mason R. The acute management and surgical reconstruction following failed esophagectomy in malignant disease of the esophagus. Dis Espohagus 2007;20: 135–40. [27] Shirakawa Y, Naomoto Y, Sakurama K, Nishikawa T, Nobuhisa T, Okawa T, et al. Colonic interposition and supercharge for esophageal reconstruction. Arch Surg 2006;391:19–23. [28] Motoyama S, Kitamura M, Saito R, Maruyama K, Sato Y, Hayashi K, et al. Surgical Outcome of colon interposition by the posterior mediastinal route for thoracic esophageal cancer. Ann Thorac Surg 2007;83:1273–8. [29] Sieber AM, Sieber WK. Colon transplant as esophageal replacement: cineradiographic and manometric evaluation in children. Ann Surg 1068;168:116–22. [30] Benages A, Moreno-Ossett E, Paris F, Ridocci MT, Blasco E, Pastor J, et al. Motor activity after colon replacement of esophagus. J Thorac Cardiovasc Surg 1981;82:335–40. [31] Cense HA, Visser MRM, van Sandick JW, de Boer AGEM, Lamme B, Obertop H, et al. Quality of life after colon interposition by necessity for esophageal cancer replacement. J Surg Oncol2004;88:32–8. [32] Cheng BC, Xia J, Shao K, Mao ZF, Huang J, Wang TS. Surgical treatment for upper or middle esophageal carcinoma occurring after gastrectomy: a study of 52 cases. Dis Esophagus 2005;18: 239–45. [33] DeMeester SR. Colon interposition following esophagectomy. Dis Esophagus 2001;14:169 – 72. [26] Watson TJ, DeMeester TR, Kauer WK, et al. Esophageal replacement for end-stage benign esophageal disease. J Thorac Cardiovasc Surg 1998;115:1241– 9. [34] Posthlethwaite RW. Colonic interposition for esophageal substitution. Surg Gynecol Obstet 1983;156: 377–83. [35] Wain JC. Long segment colon interposition. Semin Thorac Cardiovasc Surg 1992;4:336–41. [36] Deschamps C. Esophageal reconstruction—colon interposition. In: Yang SC, Cameron DE, editors. Current therapy in thoracic and cardiovascular surgery. Philadelphia7 Elsevier Mosby; 2004. p. 381–4. [37] Ueo H, Abe R, Takeuchi H, Arinaga S, Akiyoshi T. A reliable operative procedure for preparing a sufficient nourished gastric tube for esophageal reconstruction. Am J Surg 1993;165:273e6. [38] Abdelkader Boukerrouche. Isoperistaltic left colic graft interposition via a retrosternal approach for esophageal reconstruction in patients with a caustic stricture: mortality, morbidity, and functional results. Surg Today (2014) 44:827-833. [39] Koh PS, Turnbull G, Attia E, et al. Functional assessment of the cervical esophagus after gastric transposition and cervical esophagogastrostomy. Eur J Cardiothorac Surgery 2004;25:480–485. [40] Abo S. Special issue on ‘my surgery.’ Sternal manubrium resection and anterior mediastinum esophageal reconstruction in cases of cancer of thoracic esophagus (in Japanese). Gekashinryo (Surg Therapy) 1975;171102–4. [41] Coral RP, Constant-Neto M, Silva IS, Kalil AN, Boose R, Beduschi T et al. Comparative anatomical study of the anterior and posterior mediastinum as access routes after esophagectomy. Dis Esophagus 2003;16:236–8 [42] Urschel JD, Urschel DM, Miller JD, Bennett WF, Young JE. A meta-analysis of randomized controlled trials of route of reconstruction after esophagectomy for cancer. Am J Surg 2011;182:470–5. [43] Horvath OP, Lukacs L, Cseke L. Complications following esophageal surgery. Recent Results Cancer Res 2000;155:161–73. [44] Gaissert HA, Mathisen DJ. Short segment colon and jejunal interposition. Semin Thorac Cardiovasc Surg 1992;4:328–35. [45] [46] Raffensperger JG, Luck SR, Reynolds M, et al. Intestinal bypass of the esophagus. J Pediatr Surg 1996;31:38– 46. [46] [47] Moorehead RJ, Wong J. Gangrene in esophageal substitutes after resection and bypass procedures for carcinoma of the esophagus. Hepatogastroenterology 1990;37:364–7. [47] [48]Briel JW, Tamhankar AP, Hagen JA, et al. Prevalence and risk factors for ischemia, leak and stricture of esophageal anastomosis: gastric pull-up versus colon interposition. J Am Coll Surg 2004;198:536–42. [48] Isolauri J, Markkula H, Autio V. Colon interposition in the treatment of carcinoma of the esophagus and gastric cardia. Ann Thorac Surg 1987;43:420–4. [49] Shirakawa Y, Naomoto Y, Sakurama K, Nishikawa T, Nobuhisa T, Okawa T, et al. Colonic interposition and supercharge for esophageal reconstruction. Arch Surg 2006;391:19–23. [50] Hagen JA, DeMeester SR, Peters JH, Chandrasoma P, DeMeester TR. Curative resection for esophageal adenocarcinoma: analysis of 100 en bloc esophagectomy. Ann Surg 2001;234:520–30. [51] Mansour KA, Bryan FC, Carlson GW. Bowel interposition for esophageal replacement: twenty-five-year experience. Ann Thorac Surg 1997;64:752–6. [52] Gaissert HA, Mathisen DJ, Grillo HC, Malt RA, Wain JC, Moncure AC, et al. Short-segment intestinal interposition of the distal esophagus. J Thorac Cardiovasc Surg 1993;106: 860–7. [53] Cheng W, Heitmiller RF, Jones B. Subacute ischemia of the colon esophageal interposition. Ann sThorac Surg 1994;57:899–903. [54] Wain JC. Long segment colon interposition. Semin Thorac Cardiovasc Surg 1992;4:336–41. [55] Hankins JR, Cole FN, McLaughlin JS. Colon interposition for benign esophageal disease: experience with 23 patients. Ann Thorac Surg 1984;37:192–6. [56] Valentine RJ, Wind GG. Anatomic exposures in vascular surgery. 2nd ed. Philadelphia: Lippincott Williams & Wilkins; 2003. xiii, 577 p. [57] Beck AR, Baronofsky ID. A study of the left colon as a replacement for the resected esophagus. Surgery 1960; 48:499–509.