title: Esophagocoloplasty in the management of postcorrosive strictures of the esophagus.
abstract: OBJECTIVE
  Esophageal replacement therapy has developed an increasing role in the management of severe esophageal strictures due to caustic ingestion. The aim of this study is to discuss methods of reconstruction and results of them in corrosive esophagitis at our Institute.
  
  
  METHODS
  Thirty-three patients underwent 34 esophagocoloplasties for benign strictures of the esophagus over a 17-year period. The left colon was used in 8 patients, the right colon in 3 patients, and the right colon with the terminal ileum in 23 patients.
  
  
  RESULTS
  Three patients died in the first postoperative month, and there was an overall mortality rate of 9%. The most severe complication was graft necrosis (2 patients). The remainder of the patients survived without any deleterious complications.
  
  
  CONCLUSIONS
  Esophageal replacement therapy using the right colon with the terminal ileum is superior to the modalities in terms of the continuity of peristalsis of the interposed bowel segment with an intact ileocecal valve, which decreases the hazard of regurgitation from the colon. It is also easier to perform an anastomosis between the ileum and the cervical esophagus from the point of view of surgical manipulation.
authors.affiliation: Ege University Medical School Hospital, Department of General Surgery, Izmir, Turkey.
authors.forename: O
authors.initials: O
authors.lastname: Yararbai
authors.forename: H
authors.initials: H
authors.lastname: Osmanodlu
authors.forename: H
authors.initials: H
authors.lastname: Kaplan
authors.forename: Y
authors.initials: Y
authors.lastname: Tokat
authors.forename: A
authors.initials: A
authors.lastname: Coker
authors.forename: M
authors.initials: M
authors.lastname: Korkut
authors.forename: M
authors.initials: M
authors.lastname: Kapkac
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002057:Burns, Chemical / Q000150:complications*; D003106:Colon / Q000637:transplantation; D004940:Esophageal Stenosis / Q000139:chemically induced / Q000601:surgery*; D004944:Esophagoplasty / Q000379:methods; D006801:Humans; D007082:Ileum / Q000637:transplantation; D008875:Middle Aged; D011183:Postoperative Complications