Presentation
Know and operated case of esophagogastric adenocarcinoma.
Patient Data
Post operative changes are seen due to total esophagogastrectomy and colonic interposition. There is no sign of local tumoral recurrence at the anastomotic site.
The ascending aorta is dilated up to 42 mm.
Simple cortical cysts are seen in both kidneys.
The prostate gland is enlarged.
Case Discussion
This is a pathology proved case of esophagogastric adenocarcinoma that underwent esophagogastrectomy and colonic interposition.
Rarely done upper gastrointestinal tract surgery, called colonic esophageal interposition, replaces the esophagus with the colon, usually when gastric pull up can not be done. The preferred replacement is the transverse colon with all or a portion of the ascending colon. The colon's haustra are visible on conventional radiographs, CT scans, and barium swallow images.
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