Copyright
©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Apr 14, 2016; 22(14): 3869-3874
Published online Apr 14, 2016. doi: 10.3748/wjg.v22.i14.3869
Published online Apr 14, 2016. doi: 10.3748/wjg.v22.i14.3869
Ileo-right hemi-colonic cervical pull-up on a non-supercharged ileocolic arterial pedicle: A technical and case report
Andreas RR Weiss, Christina Hackl, Yorick Soeder, Hans J Schlitt, Marc-H Dahlke, Department of Surgery, University Medical Center Regensburg, 93042 Regensburg, Germany
Author contributions: Weiss ARR drafted and wrote the manuscript; Hackl C, Soeder Y and Dahlke MH drafted and critically revised the manuscript; Schlitt HJ critically revised the manuscript.
Institutional review board statement: This case report was exempt from the Institutional Review Board standards at the University Medical Center Regensburg.
Informed consent statement: The patient involved in this study gave his written informed consent authorizing use and disclosure of his protected health information.
Conflict-of-interest statement: All the authors have no conflicts of interests to declare.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Andreas RR Weiss, MD, Department of Surgery, University Medical Center Regensburg, Franz-Josef-Strauß-Allee 11, 93042 Regensburg, Germany. andreas1.weiss@ukr.de
Telephone: +49-941-9446801 Fax: +49-941-9446802
Received: December 12, 2015
Peer-review started: December 12, 2015
First decision: December 21, 2015
Revised: January 4, 2016
Accepted: January 30, 2016
Article in press: January 30, 2016
Published online: April 14, 2016
Peer-review started: December 12, 2015
First decision: December 21, 2015
Revised: January 4, 2016
Accepted: January 30, 2016
Article in press: January 30, 2016
Published online: April 14, 2016
Core Tip
Core tip: Esophageal reconstructions are more challenging than usual when the stomach and the colon are not available as substitutes for esophageal replacement. In this case, hydrochloric acid had caused severe caustic injuries to the upper digestive tract requiring esophagectomy, gastrectomy, duodenectomy, pancreatectomy and splenectomy in a 65-year-old patient. The initial reconstruction failed, leaving only a short stump of the right hemicolon in situ. We then reconstructed the intestinal passage utilizing this short part of the right hemicolon and 25 cm of ileum on a long, non-supercharged, fully mobilized ileocolic arterial pedicle.