The use of retrosternally placed colon in esophageal replacement

The authors present a review article evaluating the use of the colon as a replacement for the esophagus. We present current indications for both benign and malignant conditions and compare the advantages and disadvantages of the technical possibilities of esophageal reconstruction. The surgical technique utilizing the vascular bundle of the left colic artery and retrosternal location of the colonic conduit is discussed and documented in detail. Furthermore, we describe both early and late complications, including their management. We conclude that the colon is a safe technical possibility for esophageal replacement with satisfactory early and long-term results in cases where gastric conduit is not available. Key words: esophageal replacement with colonic interposition - esophageal replacement complications - colon interposition for esophageal replacement technique - coloplasty - esophageal replacement surgery.