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Best substitute of esophagus after esophagectomy is:

A
Stomach
B
Jejunum
C
Left colon
D
Right colon
High-Yield Explanation
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.

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