Superdrainage of the ileocolic vein to the internal jugular vein interposed by an inferior mesenteric vein graft in replacing the esophagus with the right hemicolon
Superdrainage of the ileocolic vein to the internal jugular vein interposed by an inferior mesenteric vein graft in replacing the esophagus with the right hemicolon
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DOI：
10.1007/s00595-009-4081-y
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发表时间：
2010-06-01
期刊：
影响因子：
2.5
通讯作者：
Maehara, Yoshihiko
中科院分区：
文献类型：
--
作者：
Uchiyama, Hideaki;Morita, Masaru;Maehara, Yoshihiko
当用肠导管替换食管时，可能会出现严重并发症的恐惧，例如由血液循环受损引起的坏死导管。本文的目的是提出有效的超引流肠管道使用肠系膜下静脉（IMV）间置移植。2008年，我们对3例同时患有胃癌或既往胃切除术的晚期胸段食管癌患者进行了回结肠静脉至颈内静脉的超引流，并插入IMV移植物，以右半结肠替代食管。肠黏膜处无渗漏。没有观察到这些肠导管的缺血性病变，也没有观察到因收获IMV移植物而引起的并发症。通过IMV移植物将回结肠静脉过度引流至颈内静脉，有效改善了作为食管替代物的颈部肠管的血液循环。
The fear of serious complications, such as a necrotic conduit caused by an impaired blood circulation can arise when replacing the esophagus with an intestinal conduit. The aim of this paper is to present effective superdrainage of an intestinal conduit using an inferior mesenteric vein (IMV) interposition graft. In 2008, we performed superdrainage of the ileocolic vein to the internal jugular vein interposed by an IMV graft in replacing the esophagus with the right hemicolon for advanced thoracic esophageal cancer in three patients with a synchronous gastric cancer or a previous gastrectomy. No leakage at the enteric anastomoses occurred. Neither ischemic lesions in these intestinal conduits nor complications caused by harvesting an IMV graft were observed. Superdrainage of the ileocolic vein to the internal jugular vein interposed by an IMV graft effectively improves the blood circulation in intestinal conduits brought up to the neck as an esophageal replacement.