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Selection and Placement of Conduits

Brian Mitzman, MD, Mark K Ferguson, MD
Selection and Placement of Conduits is a topic covered in the Pearson's General Thoracic.

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STS Cardiothoracic Surgery E-Book from The Society of Thoracic Surgeons provides expert guidance for Cardiac and Thoracic Surgery. Sections include Pearson’s General Thoracic, Esphageal, Adult Cardiac, and Pediatric and Congenital Cardiac Surgery. Explore these free sample topics:

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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.

-- To view the remaining sections of this topic, please or --

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: March 3, 2020