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KMID : 0371319750170080047
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Journal of the Korean Surgical Society
1975 Volume.17 No. 8 p.47 ~ p.51
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Esophageal Reconstruction Utilizing Terminal Ileum and Right Colon
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양태수/Yang, Tae Soo
김수용/김세환/Kim, Soo Yong/Kim, Sae Whan
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Abstract
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The esophageal stricture from the ingestion of corrosives is relatively common in Korea. Surgical reconstruction of the structured esophagus is essential if intermittent dilatation or other forms of conservative treatment are not satisfactory.
A clinical study of esophago-ileocolostomy of 25 patients with. corrosive stricture of the esophagus experienced during-the past 13 years at Wonju Christian Hospital are presented. The interval between ingestion of corrosives and the first visit to our hospital was relatively long. Only 5 of our patients had received integrate dilatations for the narrowed esophagus. Seventeen patients had received preliminary feeding gastrostomy before the reconstruct surgery. The utilized segments of bowel were terminal ileum and it colon in all patients except
,one, in whom left colon was used because of ruptured rt. colic vein during operation. The postoperative complications were pneumothorax, stenosis of the cervical anastomosis, wound infection, intestinal obstruction, leakage of the anastomosis, gangrene of the transplants in orders. The results were evaluated according to the ability of swallowing solid foods. Twenty-three patients (92%) were rated as good, two were failed. No operative mortality was recorded.
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