Surgical revision of dysfunctional colonic interposition after esophagoplasty.
The redundancy and dysfunction of colonic interpositions is a recognized late complication of esophageal replacement, often occurring decades after the original surgery. A 34-year-old man, whose long-gap esophageal atresia was corrected as a child with large bowel interposition, presented with severe dysphagia and recurrent aspiration pneumonia. Imaging and endoscopy revealed a grossly abnormal and dysfunctional neo-esophagus. Symptoms were refractory to medical therapies, and necessitated occupational retirement on medical grounds. His case illustrates a successful surgical technique for correcting this complication.
Shokrollahi
Kayvan
K
Barham
Paul
P
Blazeby
Jane M
JM
Alderson
Derek
D
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D003106:Colon / Q000601:surgery / Q000637:transplantation*; D003680:Deglutition Disorders / Q000000981:diagnostic imaging / Q000601:surgery; D004933:Esophageal Atresia / Q000601:surgery*; D004944:Esophagoplasty; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D011015:Pneumonia, Aspiration / Q000000981:diagnostic imaging / Q000601:surgery; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D012086:Reoperation