[Pharyngo-colonic anastomosis for esophageal reconstruction in the treatment of diffuse corrosive esophageal stricture].
OBJECTIVE
To observe the experience and the outcome of pharyngo-colonic anastomosis for esophageal reconstruction in diffuse corrosive esophageal stricture involving hypopharynx.


METHODS
This retrospective report reviews the experience and results of 14 patients who underwent esophageal reconstruction by pharyngo-colonic anastomosis without resection of intra thoracic stricture esophagus. The left half colonic segment was pulled up to the neck through the substernal space in all patients.


RESULTS
There was no operative or hospital death. Postoperative complications include cervical anastomotic fistula in four patients, rupture of the abdominal incision in 1. The length of follow-up ranged from half year to 10 years with an average of 4 years. Anastomotic stenosis occurred in 2 patients. One case improved after dilatation and the other one healed by plastic operation. One patient began to vomit after diet in seven months later with barium swallowing the abdominal colon graft was redundant and this patient was cured with side by side between the colon and the stomach.


CONCLUSIONS
The successful reconstruction for hypo-pharyngo-esophageal stricture requires a correct and larger hypopharyngeal opening and a good anastomotic technique. From our experience this procedure is shown to be safe and effective.
Jiang
Yao-guang
YG
Department of Thoracic Surgery, Daping Hospital, Third Military University, Chongqing 400042, China.
Wang
Ru-wen
RW
Zhou
Jing-hai
JH
Zhao
Yun-ping
YP
Gong
Tai-qian
TQ
D000293:Adolescent; D000328:Adult; D000714:Anastomosis, Surgical; D002056:Burns / Q000150:complications; D002648:Child; D002675:Child, Preschool; D003106:Colon / Q000601:surgery*; D004940:Esophageal Stenosis / Q000209:etiology / Q000601:surgery*; D004944:Esophagoplasty / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D010614:Pharynx / Q000601:surgery*; D012189:Retrospective Studies