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Colon Interposition to Replace an Absent Esophagus is the Procedure of Choice in Low-Income Countries
Table of Contents
- 1. Introduction
- 2. Abdominal Incision and Access to the Abdominal Cavity
- 3. Omentectomy
- 4. Colon Mobilization Including the Splenic Flexure
- 5. Release of Attachments Around the Ligament of Treitz
- 6. Determination of Blood Supply and Length of Colon
- 7. Construction of Colonic Interposition Graft
- 8. Stomach Mobilization
- 9. Excision and Repair of Gastrostomy Site
- 10. Transposition of Colon Posterior to Stomach
- 11. Cervical Incision and Mobilization of Esophagostomy
- 12. Formation of Tunnel
- 13. Passing of Colon Through Tunnel
- 14. Cervical Esophagocolonic Anastomosis
- 15. Distal Cologastric Anastomosis
- 16. Reconstruction of Colonic Continuity via a Right to Distal Left Colocolonic Anastomosis
- 17. Closure of Mesentery
- 18. Gastrostomy Creation
- 19. Abdominal Closure
- 20. Cervical Incision Closure
- 21. Skin Closure
- 22. Post-op Remarks
1. Introduction
2. Abdominal Incision and Access to the Abdominal Cavity
- Lysis of Adhesions
3. Omentectomy
4. Colon Mobilization Including the Splenic Flexure
5. Release of Attachments Around the Ligament of Treitz
6. Determination of Blood Supply and Length of Colon
- Compare the Middle Colic and Left Colic Vascular Supply
- Marginal Artery is Preserved
7. Construction of Colonic Interposition Graft
8. Stomach Mobilization
9. Excision and Repair of Gastrostomy Site
10. Transposition of Colon Posterior to Stomach
11. Cervical Incision and Mobilization of Esophagostomy
12. Formation of Tunnel
13. Passing of Colon Through Tunnel
14. Cervical Esophagocolonic Anastomosis
15. Distal Cologastric Anastomosis
16. Reconstruction of Colonic Continuity via a Right to Distal Left Colocolonic Anastomosis
17. Closure of Mesentery
18. Gastrostomy Creation
19. Abdominal Closure
- Peritoneum
- Anterior Fascia
20. Cervical Incision Closure
- Place Cervical Drain and Reapproximate Muscles
- Skin Excision
- Reapproximate Platysma
- Secure Penrose Drain to Skin
21. Skin Closure
- Secure G Tube to Skin