Abstract

LEAL BUITRAGO, Carlos; BERNAL SANTOS, Felipe  and  CABRERA VARGAS, Luis Felipe. Two Cases of Reversed Gastric Tube (RGT) Esophagoplasty at a Third Level Hospital in Bogota, Colombia and Literature Review. Rev Col Gastroenterol [online]. 2017, vol.32, n.1, pp.47-54. ISSN 0120-9957.  https://doi.org/https://doi.org/10.22516/25007440.129.

Introduction: The principal lesions in the hypharynx and esophagus are due to caustic burns and esophageal cancer which account for 17% to 23% of all events that compromise these two structures. They account for much of the surgery, especially for the challenge of major reconstruction. This study presents our series of cases using reversed gastric tube (RGT) esophagoplasty and presents a review of the literature and a critical discussion of the main aspects of this procedure. Methods: Patients underwent RGT esophagoplasties from January 2010 to January 2015. Results: One patient developed stenosis of the cervical anastomosis which was managed with endoscopic dilations. None of the patients developed dysphagia, clinical symptoms of dumping syndrome or delayed gastric emptying as the result of dietary modifications. Gastric reflux occurred in both patients and was teated with proton pump inhibitors. Discussion: RGT esophagoplasty is not often used for reconstruction after a total esophagectomy. Compared to the conventional technique of gastric ascent, interposition of the colon and supercharged reversed gastric tube techniques, it has the advantages that it is a one-step operation and is a simple procedure requiring only one anastomosis. It can be moved to the cervical region or even to the pharyngeal esophagus to create an anastomosis. Conclusions: This technique allows the creation of a longer duct for esophageal reconstruction and has a low complication rate with no mortality

Keywords : Reversed gastric tube; caustic esophageal burn; esophageal cancer.

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