[Special aspects of colo esophagoplasty in post-caustic esophageal stenosis for corrosive stricture of the esophagus (author's transl)].
The author reports 12 cases which illustrate unusual aspects of colo esophagoplasty in post-caustic esophageal stenosis. 8 cases respresented post-caustic pharyngolaryngeal stenosis in which he recommended anastomosis of the colon with the oropharynx according to a personal technical variant. In 1 case associated with amputation of the epiglottis, he carried out a double pharyngo-colic Y-shaped anastomosis. He classified the pharyngotomy types in relation to the 3 main nerves, the lingual, hypoglossal and superior laryngeal nerves. In 3 cases the author carried out successfully retrosternal transposition of a colonic segement 6 months, 1 year and 4 years after pre-thoracic colo esophagoplasty. He reports 1 case of intrathoracic strangling of the colonic tube which occurred 1 year after retrosternal colo esophagoplasty, and wich was cured by intra-vascular vertical clectomy. In all cases the good results were maintained for a long period.
D002057:Burns, Chemical / Q000150:complications*; D002424:Caustics / Q000009:adverse effects*; D003106:Colon / Q000637:transplantation*; D003251:Constriction, Pathologic / Q000601:surgery; D004940:Esophageal Stenosis / Q000139:chemically induced / Q000601:surgery*; D004944:Esophagoplasty / Q000009:adverse effects*; D006801:Humans; D007002:Hypoglossal Nerve / Q000033:anatomy & histology; D007829:Laryngostenosis / Q000139:chemically induced / Q000601:surgery; D010608:Pharyngeal Diseases / Q000601:surgery; D010614:Pharynx / Q000294:innervation / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology; D014182:Transplantation, Autologous
D002424:Caustics
Aspects particuliers de la côlo-aesophagoplastie dans les sténoses aesophagiennes post-caustiques.