{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:10:20Z","timestamp":1753891820611,"version":"3.41.2"},"reference-count":24,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,9,24]],"date-time":"2024-09-24T00:00:00Z","timestamp":1727136000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Oncol."],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>When a gastric tube cannot be used as a substitute for the esophagus, the colon offers several advantageous features for esophageal replacement. However, this procedure remains complex and necessitates patients to have a favorable nutritional status. In this study, we investigated the viability of intrathoracic colonic interposition anastomosis through a single thoracic incision, with the goal of mitigating surgical challenges and nutritional requirements.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case description<\/jats:title><jats:p>We conducted a colectomy and reconstructed the esophageal-colonic-gastric tract via the esophageal bed into the left thoracic cavity for a 68-year-old male patient with compromised nutritional status following 30 years post-Billroth II (BII) gastrectomy. Under normal circumstances, this patient would not have been deemed an appropriate candidate for a conventional colonic interposition procedure. The patient resumed a soft diet through the normal digestive tract two weeks after the surgery and was discharged 20 days later.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Patients who have previously received a Billroth II Gastrectomy and subsequently developed early-stage esophageal cancer, characterized by the absence of lymph node metastasis, are suitable candidates for Colon Interposition Radical Surgery via left thoracotomy.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fonc.2024.1403192","type":"journal-article","created":{"date-parts":[[2024,9,24]],"date-time":"2024-09-24T04:10:13Z","timestamp":1727151013000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["A case report of colon interposition radical surgery performed via unilateral thoracotomy in a patient with esophageal cancer after billroth II gastrectomy"],"prefix":"10.3389","volume":"14","author":[{"given":"Chun-Guang","family":"Wang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guang-Xin","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yan","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hang","family":"Guo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guang-Lei","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhen-Hua","family":"Kang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2024,9,24]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"83","DOI":"10.21614\/chirurgia.113.1.83","article-title":"Esophageal reconstruction with the stomach, a functional dilemma","volume":"113","author":"Predescu","year":"2018","journal-title":"Chirurgia (Bucur)"},{"key":"B2","first-page":"973","article-title":"Oesophagoplastik in allgemeinen under uber den ersatz der speiserohre durch antethorakle hautdickdarmschlauchbildung im bensonderen","volume":"105","author":"Uber","year":"1914","journal-title":"Arch Klin Chir"},{"key":"B3","first-page":"491","article-title":"Esophagoplasty technique using the transverse and descending colon","volume":"67","author":"Orsoni","year":"1951","journal-title":"J Chir (Paris)"},{"key":"B4","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1016\/S0022-5223(19)33318-5","article-title":"Reconstruction of the esophagus with the left colon","volume":"49","author":"Belsey","year":"1965","journal-title":"J Thorac Cardiovasc Surg"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(80)90387-6","article-title":"Esophageal reconstruction","volume":"139","author":"Skinner","year":"1980","journal-title":"Am J Surg"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198810000-00008","article-title":"Indications, surgical technique, and long-term functional results of colon interposition or bypass","volume":"208","author":"DeMeester","year":"1988","journal-title":"Ann Surg"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1055\/s-00000015","article-title":"Replacement surgery for esophageal atresia","volume":"23","author":"Loukogeorgakis","year":"2013","journal-title":"Eur J Pediatr Surg"},{"key":"B8","doi-asserted-by":"publisher","first-page":"750456","DOI":"10.1155\/2012\/750456","article-title":"Neck dissection for thoracic esophageal squamous cell carcinoma","volume":"2012","author":"Yajima","year":"2012","journal-title":"Int J Surg Oncol"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000005437","article-title":"Five-year survival after mcKeown compared to ivor-lewis esophagectomy for esophageal cancer: A population-based nationwide study in Finland","volume":"277","author":"Junttila","year":"2023","journal-title":"Ann Surg"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.21037\/jtd","article-title":"Left thoracotomy for middle or lower thoracic esophageal carcinoma: still Sweet enough","volume":"8","author":"Wang","year":"2016","journal-title":"J Thorac Dis"},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2014.01.034","article-title":"The sweet approach is still worthwhile in modern esophagectomy","volume":"97","author":"Ma","year":"2014","journal-title":"Ann Thorac Surg"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-018-3735-8","article-title":"Colonic interposition after adult oesophagectomy: systematic review and meta-analysis of conduit choice and outcome","volume":"22","author":"Brown","year":"2018","journal-title":"J Gastrointest Surg"},{"key":"B13","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.10728","article-title":"Intrathoracic versus cervical anastomosis and predictors of anastomotic leakage after oesophagectomy for cancer","volume":"105","author":"Gooszen","year":"2018","journal-title":"Br J Surg"},{"key":"B14","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(99)00029-6","article-title":"Long-segment colon interposition for acquired esophageal disease","volume":"67","author":"Wain","year":"1999","journal-title":"Ann Thorac Surg"},{"key":"B15","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198012000-00005","article-title":"Long-segment colon substitution for the esophagus","volume":"192","author":"Wilkins","year":"1980","journal-title":"Ann Surg"},{"key":"B16","doi-asserted-by":"publisher","DOI":"10.1097\/00003072-199309000-00012","article-title":"The motility of interposition in patients with esophageal carcinoma after reconstructive esophageal surgery","volume":"18","author":"Kao","year":"1993","journal-title":"Clin Nucl Med"},{"key":"B17","article-title":"Quality of palliation and possible benefit of extra-anatomic reconstruction in recurrent dysphagia after resection of carcinoma of the esophagus","volume":"179","author":"van Lanschot","year":"1994","journal-title":"J Am Coll Surg"},{"key":"B18","doi-asserted-by":"publisher","DOI":"10.1016\/S1015-9584(10)60016-4","article-title":"Transillumination instrument facilitates faster and more accurate dissection of right colon segment for oesophageal reconstruction","volume":"33","author":"Liu","year":"2010","journal-title":"Asian J Surg"},{"key":"B19","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1995.01430080060009","article-title":"Arterial anatomic considerations in colon interposition for esophageal replacement","volume":"130","author":"Peters","year":"1995","journal-title":"Arch Surg"},{"key":"B20","doi-asserted-by":"publisher","DOI":"10.1007\/s00595-011-0103-7","article-title":"Esophageal reconstruction using the terminal ileum and right colon in esophageal cancer surgery","volume":"42","author":"Hamai","year":"2012","journal-title":"Surg Today"},{"key":"B21","doi-asserted-by":"publisher","DOI":"10.5754\/hge10213","article-title":"Anterior vs. posterior mediastinal routes in colon interposition after esophagectomy","volume":"59","author":"Oida","year":"2012","journal-title":"Hepatogastroenterology"},{"key":"B22","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1016\/j.ciresp.2010.10.009","article-title":"Ileocoloplastia supercharged: una opci\u00f3n para reconstrucciones esof\u00e1gicas complejas [Supercharged ileocoloplasty: an option for complex oesophageal reconstructions","volume":"89","author":"Farran Teixidor","year":"2011","journal-title":"Cir Esp"},{"key":"B23","doi-asserted-by":"publisher","DOI":"10.1007\/s00595-009-4081-y","article-title":"Superdrainage of the ileocolic vein to the internal jugular vein interposed by an inferior mesenteric vein graft in replacing the esophagus with the right hemicolon","volume":"40","author":"Uchiyama","year":"2010","journal-title":"Surg Today"},{"key":"B24","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-023-05616-w","article-title":"Intrathoracic robotic-sewn anastomosis during ivor lewis esophagectomy for cancer: back to basics","volume":"27","author":"Huscher","year":"2023","journal-title":"J Gastrointest Surg"}],"container-title":["Frontiers in Oncology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fonc.2024.1403192\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,24]],"date-time":"2024-09-24T04:10:16Z","timestamp":1727151016000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fonc.2024.1403192\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,24]]},"references-count":24,"alternative-id":["10.3389\/fonc.2024.1403192"],"URL":"https:\/\/doi.org\/10.3389\/fonc.2024.1403192","relation":{},"ISSN":["2234-943X"],"issn-type":[{"type":"electronic","value":"2234-943X"}],"subject":[],"published":{"date-parts":[[2024,9,24]]},"article-number":"1403192"}}