[Delayed stenosis after esophageal reconstruction with colon interposition 35 years ago].

Abstract

BACKGROUND:

The long-term complication of an anastomotic stenosis with a poststenotic diverticulum in the case of lye chemical burn of the esophagus at the age of 2 prompted us to present this very rare case, in which 35 years ago the defect was bridged with a section of colon.

PATIENTS:

In case in point, secondary surgical correction was performed six years after the accident. Thirty-five years later, our patient developed a stenosis of the proximal esophagus which made surgical intervention necessary.

RESULTS:

In this paper, we describe the problems caused by chemical burns in this case (lye), the surgical treatment, and possible complications.

CONCLUSIONS:

Reliable procedures include reconstruction with a jejunal transplant, pectoralis major flap, microvascular myocutaneous flap, and retrosternal plastic surgery of the colon. A report on diagnostic procedure and operative care is presented.

• Authors: M Bohndorf
• Journal: Laryngo- rhino- otologie (Laryngorhinootologie) Vol. 74 Issue 12 Pg. 768-71 (Dec 1995) ISSN: 0935-8943 [Print] Germany
• Vernacular Title: Spätstenose nach Osophagusrekonstruktionen mit einem Koloninterponat vor 35 Jahren.
• PMID: 8579679 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Anastomosis, Surgical
• Burns, Chemical (diagnostic imaging, surgery)
• Colon (transplantation)
• Esophageal Stenosis (chemically induced, diagnostic imaging, surgery)
• Esophagectomy
• Follow-Up Studies
• Humans
• Male
• Postoperative Complications (diagnostic imaging, surgery)
• Radiography
• Reoperation