
PROSPECTIVE AND RETROSPECTIVE STUDY OF COLONIC INTERPOSITION IN BENIGN AND MALIGNANT ESOPHAGEAL LESION.
Author(s) -
Arvind Ghanghoria,
R Dawar,
Rajkumar Mathur
Publication year - 2019
Publication title -
international journal of medical and biomedical studies
Language(s) - English
Resource type - Journals
eISSN - 2589-8698
pISSN - 2589-868X
DOI - 10.32553/ijmbs.v3i10.666
Subject(s) - medicine , dysphagia , surgery , retrospective cohort study , prospective cohort study , esophagus , lesion , quality of life (healthcare) , nursing
The Retrospective and prospective study entitled "Prospective and Retrospective study of Colonic Interposition in Benign and Malignant Esophageal Lesion" will be conducted in the Department of Surgery of MGM Medical College and M.Y. Hospital, Indore over a period of 2 year.
The above table shows the distribution of patients according to presenting complains. 1 (3.3%) patient presented with liquid dysphagia, 23 (76.7%) patients presented with solid and liquid dysphagia and 6 (20.0%) patients presented with solid dysphagia. Majority of the patients had solid and liquid dysphagia. the distribution of patients according to diagnosis. 6 (20.0%) patients had carcinoma esophagus and 24 (80.0%) patients had esophageal strictures. Majority of the patients had esophageal strictures. Comparison of wound site infection. At 2 weeks, 2 (6.7%) patients had wound site infection, which was still present at 1 month and decreased to 1 (3.3%) at 3 months. After 3 months, none of the patients had wound site infection.
The colon interposition is an alternative option for esophageal reconstruction when the stomach is unavailable the quality of life after colonic transposition compared at postoperative 1 month and 2 year using specially designed QOL questionnaire for coloplasty patients. Our disease specific questionnaire performs well in relation to previously published study which was used same questionnaire asses the quality of life. in post coloplasty patients According to the selected colon graft (left or Right) route of reconstruction, direction of graft various surgical procedures can be considered for colonic reconstruction in present study left colic artery based left colonic graft is used. Regardless of the situation, blood supply of colon graft directly affect the outcome of the surgery.
Keywords: Colonic, Interposition, Esophageal & Lesion.