Pharyngocolonic anastomosis for esophageal reconstruction in corrosive esophageal stricture.
BACKGROUND
The aim of our study is to observe the outcome of pharyngocolonic anastomosis in esophageal reconstruction for diffuse corrosive esophageal stricture involving hypopharynx.


METHODS
This is a retrospective report of the experience and results of 14 patients undergoing esophageal reconstruction with pharyngocolonic anastomosis without resection of the strictured intrathoracic esophagus. The left 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 included cervical anastomotic leakage in 4 patients, rupture of abdominal incision in 1 patient, and aspiration pneumonia in 2 patients. The length of follow-up ranged from half a year to 10 years, with an average of 4 years. Anastomotic stenosis occurred in 2 patients. One patient was improved after dilatation and the other was relieved by plastic operation. One patient began to have vomiting after meals 7 months after surgery and was found to have redundant abdominal colon graft, which was corrected with a side-to-side anastomosis between the colon and the stomach.


CONCLUSIONS
A successful reconstruction for hypopharyngoesophageal stricture requires a sufficiently large hypopharyngocolonic anastomosis and a technique of good anastomosis. From our experience, this procedure is shown to be safe and effective.
Jiang
Yao-Guang
YG
Thoracic Surgery Department, Daping Hospital, Chongqing, China. daniel@mail.dph-fsi.com
Lin
Yi-Dan
YD
Wang
Ru-Wen
RW
Zhou
Jing-Hai
JH
Gong
Tai-Qian
TQ
Ma
Zheng
Z
Zhao
Yun-Ping
YP
Tan
Qun-You
QY
D000293:Adolescent; D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D002057:Burns, Chemical / Q000150:complications; D002424:Caustics / Q000009:adverse effects; D002648:Child; D002675:Child, Preschool; D003106:Colon / Q000601:surgery*; D004940:Esophageal Stenosis / Q000601:surgery*; D004947:Esophagus / Q000601:surgery*; D005260:Female; D006801:Humans; D007013:Hypopharynx / Q000473:pathology / Q000601:surgery*; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies
D002424:Caustics