title: [Coloesophagoplasty, a choice operation for postcaustic esophageal stenosis].
abstract: OBJECTIVE
  To evaluate the problems of approach, of technique and of care as a 20 years experience demonstrates.
  
  
  METHODS
  a retrospective study including 45 operated cases where the large-bowel served as reconstructive material (in 33 cases the transverse colon and in 12 cases right ileocolon).
  
  
  RESULTS
  Healing was obtained in 42 patients. Early postoperative evolution presented: peritonitis caused by anastomotic leakages--2 cases, hemoperitoneum--2 cases, cervical fistula --1 case, wound infection--6 cases, evisceration--1 case, acute respiratory failure--6 cases. Cervical anastomosis reconstruction for late stenosis--1 case. There were 2 postoperative deaths by haemorrhagic shock and peritonitis--mortality 4.4.
  
  
  CONCLUSIONS
  Reconstruction by using the large-bowel was justified through anatomic argumentation (sufficient vascular supply), technic argumentation (easy anastomosis, tension free, short time of execution), functional argumentation (good compliance of large-bowel to the new function).
  
  
  CONCLUSIONS
  Coloesophagoplasty is an efficient method on the condition of a strict planning: continent gastrostomy and evolvement of vascular arcades due to previous vascular "carving".
authors.affiliation: Clinica chirurgie II, U.M.F. Craiova. pasmar@mail.com
authors.forename: M
authors.initials: M
authors.lastname: Paşalega
authors.forename: C
authors.initials: C
authors.lastname: Meşină
authors.forename: F
authors.initials: F
authors.lastname: Calotă
authors.forename: D
authors.initials: D
authors.lastname: Vâlcea
authors.forename: R
authors.initials: R
authors.lastname: Nemes
authors.forename: C
authors.initials: C
authors.lastname: Burdescu
authors.forename: T
authors.initials: T
authors.lastname: Curcă
authors.forename: T
authors.initials: T
authors.lastname: Paraliov
authors.forename: C
authors.initials: C
authors.lastname: Mirea
authors.forename: T
authors.initials: T
authors.lastname: Tenea
authors.forename: I
authors.initials: I
authors.lastname: Vasile
mesh_terms: D000293:Adolescent; D000328:Adult; D002057:Burns, Chemical / Q000150:complications / Q000401:mortality / Q000601:surgery*; D003106:Colon / Q000637:transplantation*; D004940:Esophageal Stenosis / Q000139:chemically induced / Q000401:mortality / Q000601:surgery*; D004944:Esophagoplasty / Q000009:adverse effects / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012383:Romania / Q000453:epidemiology; D014182:Transplantation, Autologous; D016896:Treatment Outcome