Mahawongkajit Prasit, Boochangkool Nuttorn
Department of Surgery, Faculty of Medicine, Thammasat University, Bangkok, Pathumthani, Thailand.
Surg Res Pract. 2020 Nov 16;2020:6585762. doi: 10.1155/2020/6585762. eCollection 2020.
Colonic evaluation is an essential step before proceeding with esophagectomy to reconstruct by colonic interposition. Colonoscopy is the standard practice for colorectal cancer screening, but it has a chance of failing cecal intubation and carries a risk of horrific adverse events by colonic perforation. CT colonography is a less invasive alternative method reported as useful for colonoscopic screening in cases of average risk of colorectal cancer. This study set out to report our clinical experience and to evaluate CT colonography in the preoperative process for colonic interposition of esophagectomy patients. Data for esophagectomy with colonic interposition patients were retrospectively analyzed and compared the colonoscopy group with the CT colonography group. During eight years, 31 patients, 12 patients in the colonoscopy group and 19 patients in the CT colonography group, included in this study. In both groups, the patient demographic data, procedures, and outcomes were not different. After colonic interposition, endoscopy was performed, and no lesions of conduits were detected. CT colonography is a minimally invasive and reliable option for colonic evaluation method for the patient of average colorectal cancer risk who has undergone esophagectomy with colonic interposition.
在进行结肠代食管重建的食管切除术之前，结肠评估是必不可少的一步。结肠镜检查是结直肠癌筛查的标准方法，但它有无法插入盲肠的可能性，并且存在结肠穿孔导致可怕不良事件的风险。CT结肠成像术是一种侵入性较小的替代方法，据报道，对于结直肠癌平均风险的病例，它对结肠镜筛查很有用。本研究旨在报告我们的临床经验，并评估CT结肠成像术在食管切除患者结肠代食管术前过程中的应用。对结肠代食管切除术患者的数据进行回顾性分析，并将结肠镜检查组与CT结肠成像术组进行比较。在八年期间，本研究纳入了31例患者，其中结肠镜检查组12例，CT结肠成像术组19例。两组患者的人口统计学数据、手术过程和结果均无差异。结肠代食管术后进行了内镜检查，未发现管道病变。对于接受结肠代食管切除术的结直肠癌平均风险患者，CT结肠成像术是一种微创且可靠的结肠评估方法。
