“Supercharged” Isoperistaltic Colon Interposition for Long-Segment Esophageal Reconstruction

Supercharged isoperistaltic colon interposition appears to be an excellent option for the challenging situation where long-segment esophageal reconstruction is needed and the stomach is not available. The additional effort required to reestablish a dual blood supply appears justified to minimize ischemic-related morbidity. Unlike long-segment small bowel “supercharged” techniques, adequate blood supply to the distal conduit may still be present in case thrombosis of the reimplanted vessels occurs.