Hypervascularization of esophagocolotransplantat: literature review and personal experience

  • A. V. Vorobey Belarus Medical Academy of Postgraduate Education, Minsk
  • D. A. Chepik Minsk Regional Clinical Hospital
  • Ye. I. Vizhinis Belarus Medical Academy of Postgraduate Education, Minsk
  • A. M. Makhmudov Belarus Medical Academy of Postgraduate Education, Minsk
Keywords: post–burn stenosis of esophagus, esophagocolonoplastics, graft hypervascularization

Abstract

Colon patch esophagoplasty for a post–burn stenosis of esophagus is a complicated operation. The main problem is a viability of the cervical part of the colonic graft. Investigation of colonic vascular anatomy allows the appropriate choice of its better vascularised part as an esophagocolonotransplantat. To hypervascularize the graft in case of its insufficient vascularization direct vascular anastomoses of its cervical part with cervical or internal thoracic arteries have been suggested. The technology of vascular ligation has been elaborated in order to develop collateral circulation. Literature review on the mesentericography before esophagocolonoplastics and transversal colonic graft vascularization has been provided. Authors’ personal experience has been described.

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Published
2017-09-07
How to Cite
Vorobey, A. V., Chepik, D. A., Vizhinis, Y. I., & Makhmudov, A. M. (2017). Hypervascularization of esophagocolotransplantat: literature review and personal experience. Klinicheskaia Khirurgiia, (8), 12-17. https://doi.org/10.26779/2522-1396.2017.08.12
Section
General Problems of Surgery