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Indications, Limitations, and Complications

JOHN R. PELLETT, MD

AMA Arch Surg. 1964;89(1):169-179.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The purpose of this report is to review the indications, limitations, and complications of colon interposition for replacing or bypassing the esophagus. We wish to present its uses in benign and malignant conditions, in both children and adults.

Esophageal reconstruction using the colon was described in the early 1900's utilizing an antethoracic subcutaneous route,^1,2 but Ochsner in 1934, in reviewing esophagoplasties, reported only 20 instances of subcutaneous colon transplantations between 1911-1934.³ The use of the colon for an esophagus has been developed further as better methods of bowel preparation and other aids became available; successful esophageal reconstruction with colon segments have been reported with increasing frequency.^4-12

Our experience being reported upon from The Wisconsin Medical Center rests with 17 patients, all treated by retrosternal colon interposition.

Indications

The indications for colon interposition are for conditions (Table 1) of progressive esophageal obstruction, certain instances of congenital esophageal atresia . . . [Full Text PDF of this Article]

Author Affiliations
MADISON, WIS

From the Department of Surgery, University of Wisconsin Medical School.

Footnotes
Read before the 21st Annual Meeting of the Central Surgical Association, Rochester, Minn, Feb 27-29, 1964.

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