Colon bypass with a colon-flap augmentation pharyngoesophagoplasty.

Abstract

Extensive caustic stricture of the upper aero-digestive system (oro- and hypo-pharynx) is a severe injury with limited surgical options. We adopted augmentation of the cicatrized upper aero-digestive tract with colon as our preferred management option. The aim of this report is to describe our initial experience with the technique of colon-flap augmentation pharyngo-esophagoplasty (CFAP) for selected patients with severe pharyngo-esophageal stricture. Between October 2011 and June 2013, three male patients (aged 16, 4 and 18 years respectively) underwent CFAP following extensive pharyngo-esophageal stricture. Postoperative recovery was uneventful in all three cases and all started swallowing within 7-10 days after surgery without significant dysphagia. Colon-flap augmentation pharyngo-esophagoplasty is an effective procedure for reconstruction of the pharynx and the hypopharynx after extensive caustic pharyngoesophageal structure in selected cases.

• Authors: Mark Tettey, Frank Edwin, Ernest Aniteye, Martin Tamatey, Ekow Entsua-Mensah, Ernest Offosu-Appiah, Innocent Adzamli
• Journal: The Pan African medical journal (Pan Afr Med J) Vol. 21 Pg. 275 ( 2015) ISSN: 1937-8688 [Electronic] Uganda
• PMID: 26587125 (Publication Type: Case Reports, Journal Article)

Topics

• Adolescent
• Burns, Chemical (complications)
• Child, Preschool
• Colon (surgery)
• Constriction, Pathologic (chemically induced, surgery)
• Esophageal Stenosis (chemically induced, surgery)
• Esophagoplasty (methods)
• Humans
• Male
• Pharyngeal Diseases (chemically induced, surgery)
• Severity of Illness Index
• Surgical Flaps