Adenocarcinoma from Esophageal Colonic Interposition

食道重建之大腸腺癌

林大欽(Ta-Chin Lin)

《東港安泰醫護雜誌》 12卷1期 (2006/03) Pp. 45-49

https://doi.org/10.7078/TSMHMNJ.200603.0045

摘要

以大腸來做食道重建對於先天或後天食道良性或惡性狹窄已成一標準治療方式。然而，各種不同併發症也被報導過。一位74歲女性在33年前因為食道癌而使用大腸來做食道重建手術。罕見地，經組織病例切片證實在移植的大腸上產生了腺癌。我們回顧了一些用大腸做重建手術產生併發症的相關文章並且探討術後產生的病態如吞嚥困難等相關症狀，以早期發現在移植大腸上產生惡性變化。

關鍵字

大腸轉位 ； 併發症 ； 接合處滲漏 ； 接合處狹窄 ； 胃大腸逆流 ； 大腸接枝狹窄

並列摘要

Colon interposition has become a golden standard for treating patients with congenital or acquired both benign and malignant esophageal strictures. However, a variety of late complications have been reported, including anastomotic leak, anastomotic stricture, Gastro-colic reflux, and colon-graft stricture. Our case is about a seventy-four-year-old female undergoing esophageal reconstruction using colonic interposition for esophageal malignancy at her age of forty-one. The rare complication of an adenocarcinoma developing in the graft proved in the final histolopathology. The new onset of dysphagia after surgery is likely to be the contribution for the recurrent malignancy. As a result, we review the associated articles about complications of colon interposition and discuss the post-operative morbidity as a cause of recurrent dysphagia or other symptoms.

並列關鍵字

Colon interposition ； Complication ； Anastomotic leak ； Anastomotic stricture ； Gastro-colic reflux ； Colon-graft stricture ； Dysphagia