What is Best substitute of esophagus after esophagectomy is: and explain in detail?
Answer is A (Stomach) After a poion of esophagus is removed, or after complete esophagectomy, a conduit must be establishedfbr alimentary continuity. The stomach, colon and jejunum have all been successfully used a esophageal substitutes but the Stomach appears to be the 'conduit' of choice because of ease in mobilization and its ample vascular supply - Sabiston Colon is used if the patient has undergone a paial or total gastrectomy previously, or if tumor involves the stomach to preclude a 5 cm margin. Jejunal loops can also be used, but limited vascular supply restricts mobility.