National Journal of Medical Research (Sep 2015)
COMPARISON OF POST-OPERATIVE COMPLICATIONS OF COLONIC INTERPOSITION AND GASTRIC PULL UP SURGERY AMONG CORROSIVE ESOPHAGEAL STRICTURE PATIENTS
Abstract
Introduction: The objective of the study to compare outcome and complications of Colonic interposition and Gastric pull-up in treatment of corrosive esophageal stricture. Methodology: This cohort study was conducted on the patients admitted in the surgical wards of SMIMER hospital, Surat with clinically diagnosed corrosive esophageal stricture. The cases were then followed for a period of 6 months from the date of commencement of surgical procedure. Results: The study included 25 patients of corrosive oesophageal stricture, 12 were operated by colonic interposition and 13 were operated by gastric pull up method. Most common reason for indication of surgery was failure to dilatation. Mean duration of surgery of patients operated by colonic interposition method was 5.41 hours while it was 3.57 hours for patients operated by gastric pull-up method. Mean post-operative pain score of patients operated by colonic interposition method was 4 while it was 2.77 for patients operated by gastric pull-up method. Conclusion: Gastric pull up was better method compared to colonic interposition in the management of corrosive oesophageal stricture due to the relative technical ease, excellent healing power of the anastomosis, wide anastomotic stoma at the neck and only one single anastomosis is required.
