Pharyngo-enteral anastomosis for esophageal reconstruction in diffuse corrosive esophageal stricture.
BACKGROUND
Diseases involving the entire esophagus usually require extensive surgical procedures to accomplish functional reconstruction. These procedures are extremely stressful for undernourished patients. We have utilized a simpler procedure for total esophageal reconstruction.


METHODS
This retrospective report reviews the experience in 8 patients who underwent esophageal reconstruction by pharyngo-colo-gastrostomy or jejunostomy without any resection of bony structures.


RESULTS
There was no operative or hospital death. Complications included anastomotic stenosis, transient leak from the ileal stump, and late enterocutaneous fistula, each in 1 patient. Laryngeal function was maintained without special treatments. After swallowing training for approximately 1 week, oral feeding was resumed. All patients have gained 7 to 21 kg at 35 to 67 months after surgery.


CONCLUSIONS
Our surgical procedure is shown to be safe and effective in undernourished patients with diffuse esophageal stricture.
Park
J K
JK
Department of Thoracic and Cardiovascular Surgery, St. Mary's Hospital, Catholic University of Korea, Seoul. jaekpark@cmc.cuk.ac.kr
Sim
S B
SB
Lee
S H
SH
Jeon
H M
HM
Kwack
M S
MS
D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods*; D002057:Burns, Chemical / Q000601:surgery*; D003106:Colon / Q000637:transplantation*; D004940:Esophageal Stenosis / Q000139:chemically induced* / Q000601:surgery; D016629:Esophagectomy / Q000379:methods*; D004944:Esophagoplasty / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D007582:Jejunostomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010614:Pharynx / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D012086:Reoperation