Long-segment colon interposition for acquired XXXX .

@entity1 @entity834 @entity63 @entity130 @entity1208 @entity354 @entity850 @entity1744 @entity1319
BACKGROUND: Long-segment colon interposition has been used for esophageal replacement for acquired @entity1208 . The indications for use, morbidity, and functional results of these conduits have been debated. METHODS: We reviewed the medical records, office visits, and operative reports of @entity1 undergoing long colon interposition for acquired @entity1208 at our institution from 1956 to 1997. RESULTS: Long colon interposition was performed in 52 @entity1 for @entity130 (n = 20), @entity354 (n = 16), previous irradiation (n = 8), primary @entity1319 (n = 4), and acquired absence of the esophagus (n = 4). From 1976 to 1997, acquired diseases accounted for 62% of long colon interposition. The left colon was used in 46 @entity1 and the right colon in 6. The in-hospital mortality rate was 4%. Early complications included graft @entity63 in 5 @entity1 , @entity834 in 3, and @entity1744 in 1. Late complications included @entity850 requiring dilation in 26 @entity1 , with 2 requiring surgical revision, and bile reflux requiring surgical diversion in 1 @entity1 . Swallowing function was excellent in 24% of @entity1 , good in 66%, and poor in 10%. CONCLUSIONS: Long colon interposition can be performed safely, with acceptable long-term functional results in @entity1 with acquired @entity1208 .
