Selection and Placement of Conduits
Key Points
- Many options exist for esophageal replacement depending on the clinical scenario, availability of gastrointestinal conduits, and technical ability of the surgeon.
- Gastric tubularization remains the mainstay for esophageal reconstruction due to excellent outcomes and technical ease when compared with other techniques.
- Long segment colonic interposition is an appropriate choice when the stomach is not available, but careful preoperative workup is necessary to ensure adequate blood supply.
- Ischemic necrosis of any conduit is a dreaded complication, and new techniques are being evaluated to help assess perfusion at the time of anastomosis.
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Last updated: December 18, 2022
Citation
Mitzman, Brian, and Mark K Ferguson. "Selection and Placement of Conduits." Pearson's General Thoracic Surgery. STS Cardiothoracic Surgery E-Book, Chicago: Society of Thoracic Surgeons, 2022. STS Surgery, ebook.sts.org.
Mitzman B, Ferguson MK. Selection and Placement of Conduits. In: Darling GE, Baumgartner WA, Jacobs JP, eds. Pearson's General Thoracic Surgery. STS Cardiothoracic Surgery E-Book. Chicago: Society of Thoracic Surgeons; 2022. ebook.sts.org. Accessed September 23, 2023.
Mitzman, B., & Ferguson, M. K. (2022). Selection and Placement of Conduits. In Darling, G., Baumgartner, W., & Jacobs, J. (Eds.), Pearson's General Thoracic Surgery. STS Cardiothoracic Surgery E-Book. Chicago: Society of Thoracic Surgeons. ebook.sts.org
Mitzman B, Ferguson MK. Selection and Placement of Conduits [Internet]. In: Darling GE, Baumgartner WA, Jacobs JP, editors. Pearson's General Thoracic Surgery. STS Cardiothoracic Surgery E-Book. Chicago: Society of Thoracic Surgeons; 2022. [cited 2023 September 23]. Available from: ebook.sts.org.
* Article titles in AMA citation format should be in sentence-case
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T1 - Selection and Placement of Conduits
ID - 1418559
ED - Jacobs,J,
ED - Darling,Gail,
ED - Baumgartner,William,
Y1 - 2022/12/18/
BT - Pearson's General Thoracic
UR - https://ebook.sts.org/sts/view/Pearsons-General-Thoracic/1418559/all/Selection_and_Placement_of_Conduits
PB - Chicago: Society of Thoracic Surgeons
DB - STS Surgery
DP - Unbound Medicine
ER -