[Auto-transplantation of small intestine, an emergency salvage procedure after failure of esophagoplasty].
The colon or stomach is generally used for extended oesophagoplasty. These pediculated plasties may be complicated by necrosis or stenosis and require total or partial resection at a later stage. We report such an outcome in this case report: failure of left coloplasty, partial failure of right coloplasty and stomach then rendered unusable. The cervico-thoracic oesophagus was reconstructed using a free revascularised small bowel transplant, re-establishing the continuity between the cervical oesophagus and the retrosternal right colon. This case presents several particularities: semi-emergency salvage procedure, use of a saphenous vein graft to revascularise the intestinal artery using the lingual artery as nutrient artery, venous drainage of the transplant via the intrathoracic left brachiocephalic vein, necessity for resection of the left half of the manubrium sterni and the head of the left clavicle.
Germain
M A
MA
Service de Chirurgie, Hôpital de Nanterre.
Chasseray
V
V
Launois
B
B
Hureau
J
J
D003106:Colon / Q000601:surgery; D004630:Emergencies; D004940:Esophageal Stenosis / Q000601:surgery; D004944:Esophagoplasty / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D007421:Intestine, Small / Q000637:transplantation*; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D014182:Transplantation, Autologous
Auto-transplantation d'intestin grêle, opération de sauvetage en urgence après échecs d'oesophagoplasties.