NAGPUR: A 19-year-old lady who by chance consumed acid, totally destroying her oesophagus, was not able to drink or consume. The oesophagus had turn out to be so constricted that she couldn’t even swallow her saliva. Doctors at Vidarbha Institute of Medical Sciences (VIMS) performed a unprecedented surgery to proper the defect, and reconstructed the oesophagus the use of a portion of the colon.
The patient, who hails from Parasia, consumed the acid in April this 12 months. She was treated by way of a neighborhood doctor, but progressively she developed dysphagia (incapability to swallow food or water). She consulted Dr Rajesh Singhania at VIMS, who evaluated the patient and located that she had burned her oesophagus and that led to narrowing, which could no longer be treated with endoscopy. Since the patient needed some feeding urgently, first the docs put her on a feeding tube from stomach to the tummy so that she could take liquid food a minimum of.
Dr Singhania then referred the patient to Dr Yogesh Bang, a gastroenterologist, for further management. Both determined to move for surgical intervention and replace her oesophagus with a part of the colon (finish a part of the digestive machine).
“Such injuries generally tend to progress and early surgery is usually a failure, so we determined to watch for six months and let the wear stabilize,” stated Dr Bang. After six months, Dr Singhania and Dr Bang performed the surgery, which is technically called as ‘colon interposition’. The patient can now drink and consume the whole lot she likes.
Dr Bang explained that the oesophagus was created by way of slicing a piece of colon, about 45-50cm, lifting it up in the course of the decrease a part of the digestive machine to the neck by the use of the chest cavity, and stitching it on the starting place of the oesophagus. Now, this tube of colon will act as neo-oesophagus. Most important factor is this surgery maintains the blood provide to the colon.
“Generally, surgeons use a part of the tummy to replace the oesophagus. But this has many disadvantages. Since stomach secretes acid, the patient gets acidity in mouth. The feeling of hunger goes away when stomach is connected within the preliminary portion of the food pipe. Whereas colon is acid resistance, and maintains the sensation of hunger, and such surgery makes the patient feel normal,” explained Dr Bang.
Besides Dr Singhania and Dr Bang another surgical gastroenterologist Dr Yogendra Dadge from Latur and anaesthesiologist Dr Thakre supported the surgery.
The patient, who hails from Parasia, consumed the acid in April this 12 months. She was treated by way of a neighborhood doctor, but progressively she developed dysphagia (incapability to swallow food or water). She consulted Dr Rajesh Singhania at VIMS, who evaluated the patient and located that she had burned her oesophagus and that led to narrowing, which could no longer be treated with endoscopy. Since the patient needed some feeding urgently, first the docs put her on a feeding tube from stomach to the tummy so that she could take liquid food a minimum of.
Dr Singhania then referred the patient to Dr Yogesh Bang, a gastroenterologist, for further management. Both determined to move for surgical intervention and replace her oesophagus with a part of the colon (finish a part of the digestive machine).
“Such injuries generally tend to progress and early surgery is usually a failure, so we determined to watch for six months and let the wear stabilize,” stated Dr Bang. After six months, Dr Singhania and Dr Bang performed the surgery, which is technically called as ‘colon interposition’. The patient can now drink and consume the whole lot she likes.
Dr Bang explained that the oesophagus was created by way of slicing a piece of colon, about 45-50cm, lifting it up in the course of the decrease a part of the digestive machine to the neck by the use of the chest cavity, and stitching it on the starting place of the oesophagus. Now, this tube of colon will act as neo-oesophagus. Most important factor is this surgery maintains the blood provide to the colon.
“Generally, surgeons use a part of the tummy to replace the oesophagus. But this has many disadvantages. Since stomach secretes acid, the patient gets acidity in mouth. The feeling of hunger goes away when stomach is connected within the preliminary portion of the food pipe. Whereas colon is acid resistance, and maintains the sensation of hunger, and such surgery makes the patient feel normal,” explained Dr Bang.
Besides Dr Singhania and Dr Bang another surgical gastroenterologist Dr Yogendra Dadge from Latur and anaesthesiologist Dr Thakre supported the surgery.
Docs reconstruct oesophagus using piece of colon at VIMS
![Docs reconstruct oesophagus using piece of colon at VIMS]()
Reviewed by Kailash
on
November 29, 2018
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