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Christina L. Greene, MD, Steven R

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1 Long-Term Quality of Life and Alimentary Satisfaction After Esophagectomy With Colon Interposition 
Christina L. Greene, MD, Steven R. DeMeester, MD, Florian Augustin, MD, Stephanie G. Worrell, MD, Daniel S. Oh, MD, Jeffrey A. Hagen, MD, Tom R. DeMeester, MD  The Annals of Thoracic Surgery  Volume 98, Issue 5, Pages (November 2014) DOI: /j.athoracsur Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Colon interposition (a) after en bloc esophagectomy and (b) after vagal-sparing esophagectomy. (Panel a is reprinted from Banki F, et al, Ann Surg 2002;236: [5], with permission. Panel b is reprinted courtesy of Dr Tom R. DeMeester.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 The Gastrointestinal Quality of Life Index questionnaire is a validated 36-item survey with a maximum score of 144. Questions are divided into 5 domains, with higher scores denoting better function. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 The RAND 36-Item Health Survey 1.0 (RAND Corp, Santa Monica, CA) is a general health questionnaire with a maximum score of 100. Questions are divided into 8 domains, with higher scores denoting better function. Scores for patients with a colon interposition (solid line) are compared with normal volunteers (dashed line). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Overall alimentary tract comfort was rated from 0 to 10. A score of 0 indicated that alimentary function was intolerable, and a score of 10 indicated complete satisfaction. The distribution of patient alimentary satisfaction scores is shown. The median alimentary satisfaction score was 9 (interquartile range, 8 to 10). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

6 Fig 5 Detailed information on the presence and pattern of dumping was available from 44 patients, 19 of whom experienced dumping, with most reporting infrequent episodes. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

7 Fig 6 Still images from an esophagram performed in a patient (a) 20 years before and (b) at the time of this study. There was no significant increase in colon diameter or tortuosity over time. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions


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