TY - JOUR AU1 - Nakamura, Eric Toshiyuki AU2 - Galvão, Flávio Henrique Ferreira AU3 - Park, Amanda AU4 - Tustumi, Francisco AB - Esophagus https://doi.org/10.1007/s10388-023-01022-y LE T TER TO  THE   EDITOR Esophageal replacement when stomach conduit is unavailable: is colon the best option? 1 1 2 1 Eric Toshiyuki Nakamura  · Flávio Henrique Ferreira Galvão  · Amanda Park  · Francisco Tustumi Received: 9 March 2023 / Accepted: 14 July 2023 © The Author(s) under exclusive licence to The Japan Esophageal Society 2023 Long et al. [1] describe their experience with colon interpo- interposition [7]. According to Blackmon et al. [8], 83% of sition for esophageal reconstruction for patients with una- the patients treated with jejunum flaps supercharging could vailability of the gastric conduit. Despite colon interposi- return to an oral nutritive diet, with peristalsis in manometry tion being the authors' first option for patients with stomach tests, potentially reducing supine and nocturnal reflux, com- unavailability, colon is far from an incontestable alternative. mon in esophageal replacement. Colon interposition is complex and demands many anasto- Another option for upper esophageal cancers is the ante- moses. Long et al. showed a 19.2% risk for severe complica- rolateral thigh flap [9 ]. Its reliable anatomy, long pedicle, tions. Despite the authors presenting a reasonable long-term and favorable donor site allow flexibility in flap design and quality of life, the median length of follow-up was 9 months. a robust blood TI - Esophageal replacement when stomach conduit is unavailable: is colon the best option? JF - Esophagus DO - 10.1007/s10388-023-01022-y DA - 2023-10-01 UR - https://www.deepdyve.com/lp/springer-journals/esophageal-replacement-when-stomach-conduit-is-unavailable-is-colon-Q58jMbGyQ5 SP - 769 EP - 770 VL - 20 IS - 4 DP - DeepDyve ER -