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Title
1. Introduction
2. Abdominal Incision and Access to the Abdominal Cavity
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a. 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
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a. Compare the Middle Colic and Left Colic Vascular Supply
b. 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 Anstomosis
17. Closure of Mesentery
18. Gastrostomy Creation
19. Abdominal Closure
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a. Peritoneum
b. Anterior Fascia
20. Cervical Incision Closure
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a. Place Cervical Drain and Reapproximate Muscles
b. Skin Excision
c. Reapproximate Platysma
d. Secure Penrose Drain to Skin
21. Skin Closure
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a. Secure G Tube to Skin
22. Post-op Remarks
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Colon Interposition to Replace an Absent Esophagus is the Procedure of Choice in Low-Income Countries
Yoko Young Sang, MD
1
;
Caroll Alvarado Lemus, MD
2
;
Domingo Alvear, MD
3
1
Louisiana State University Shreveport
2
Mario Catarino Rivas Hospital, Honduras
3
World Surgical Foundation
Tags:
General Surgery
Pediatric Surgery
Global Surgery
Main Text
Procedure Outline
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Authors
Yoko Young Sang, MD
Caroll Alvarado Lemus, MD
Domingo Alvear, MD
Filmed At:
Mario Catarino Rivas Hospital, Honduras
Article Information
Publication Date
12/5/2024
Article ID
290.5
Production ID
0290.5
Volume
2024
Issue
290.5
DOI
https://doi.org/10.24296/jomi/290.5