Therapeutic Advances
Copyright ©The Author(s) 2016.
World J Gastrointest Surg. Dec 27, 2016; 8(12): 766-769
Published online Dec 27, 2016. doi: 10.4240/wjgs.v8.i12.766
Table 1 Predicted potential comparison of the two techniques for esophageal replacement
Colonic interpositionRoux-en-Y augmented gastric advancement
Vascular supply and conduit necrosis ratesGood; conduit necrosis rate 2.4%-18%Potentially excellent; conduit necrosis rate 2%-5%
Mild mucosal ischemiaIschemic colitis (3%)Gastric erosions
Gastroesophageal and colo-esophageal reflux ratesLow (4%-5%)Low
Conduit reservoir capacityAcceptableBetter
Postprandial conduit fullnessLessMore
Probability of cervical esophageal anastomotic leakage rateLowLow
Probability of postoperative esophageal anastomotic stricture formationLowHigher
Potential complicationsHigher probability of anastomotic leakage in colonic anastomosisHigher probability of gastric erosions postoperatively due to retention gastritis