Page 1 of 2: surgery

nutsnitin · Credits: 15174 My Scrapbook

best substitute of esophagus after esophagectomy is...

1..stomach
2..jejunum..
3..left colon...
4..right colon..

answer given is stomach nd reason given is ease of mobilisation...

at one discussion of test, it was told that stomach is preffered bcoz of ease of mobilisation but 'BEST' substitute is colon.........plz comment...

decembermist · Credits: 41211 My Scrapbook

Stomach appears to be the conduit of choice bcos of ease in mobilisation and its ample vascular supply

Colon is used if the patient has undergone a partial or total gastrectomy previously , or if the tumor involves the stomach to preclude a 5cm margin

Jejunal loops can also be used , but limited vascular supply restricts its mobility

taken frm Mudit khanna...ref given is Sabiston 16th edn, page no: 744

drprasu · Credits: 5755 My Scrapbook

reference schwartz 7/e
PARTIAL ESOPHAGECTOMY=jejunum is best
because jejunum, unlike stomach and colon, is a dynamic conduit so helps in propulsion of bolus of food.

TOTAL ESOPHAGECTOMY= after reading schwartz
i felt colon is better than stomach. various advantages of colon over stomach is given
including less post op complications.
only imp. adv. of stomach over colon is ease of surgery.

since neither partial nor total is mentioned in given in question, we shall take it as total because it is much more frequently done than partial.

decembermist · Credits: 41211 My Scrapbook

So stomach / colon

finally kise lock kardiya jaaye

drprasu · Credits: 5755 My Scrapbook

left colon

cushieri textbook of surgery says left colon is preferred over right one for substitute after esophagectomy

draditithegreat · Credits: 1248020 My Scrapbook

so if question asks preferred substitute ::: it is stomach

and if it asks the best substitute it is :::: left colon!!

BRAVO · Credits: 46105 My Scrapbook

in practical cases what is being done in and out is oesophagectomy with gastric pull up,i will stick to it!!!!

drprasu · Credits: 5755 My Scrapbook

common one may not be the best one

drprasu · Credits: 5755 My Scrapbook

if they specifically ask PARTIAL esophagectomy
then answer is clearly given as JEJUNUM

for TOTAL its upto you
i'll go for colon

drprasu · Credits: 5755 My Scrapbook

commonest is of course stomach

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