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Revista do Colégio Brasileiro de Cirurgiões
On-line version ISSN 1809-4546
GALVAO, Mário Sérgio Lomba; PINTO, Carlos Eduardo and SBALCHIERO, Juliano Carlos. The use of microsurgical bipedicle colonic tube in esophageal reconstruction. Rev. Col. Bras. Cir. [online]. 2003, vol.30, n.3, pp. 238-240. ISSN 1809-4546. http://dx.doi.org/10.1590/S0100-69912003000300012.
In some cases of esophageal reconstruction, it is not possible to use the gastric tube. In those cases, the second option is the reconstruction with a colonic segment. In the present paper, the authors present the use of microsurgical technique to improve vascular supply in esophageal reconstructions using the colon. Therefore, the transposed segment becomes perfused by two vascular pedicles: a proximal one and a distal one. The authors describe a case of 52 years-old patient, suffering of middle third esophagus carcinoma, who underwent a primarily esophageal resection with an unsuccessful reconstruction using gastric transposition. A new reconstruction was proposed using a bipedicle microcirurgical colonic tube, four months later. The post operative was uneventful with rehabilitation of swallowing and satisfactory recovery of nutritional state.
Keywords : Esophagus; Esophageal neoplasms; Carcinoma; Reconstruction; Microsurgery; Postoperative complications; Colon; Rehabilitation.