[Coloesophagoplasty, a choice operation for postcaustic esophageal stenosis].
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".
Paşalega
M
M
Clinica chirurgie II, U.M.F. Craiova. pasmar@mail.com
Meşină
C
C
Calotă
F
F
Vâlcea
D
D
Nemes
R
R
Burdescu
C
C
Curcă
T
T
Paraliov
T
T
Mirea
C
C
Tenea
T
T
Vasile
I
I
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