Esophageal replacement by Lexer's esophagoplasty: adenocarcinoma as late complication.
The most successful method for esophageal reconstruction in the early 20th century was the jejunodermatoesophagoplasty after Lexer, involving the presternal formation of a skin tube for passage reconstruction. A 59-year-old patient presented to our hospital with adenocarcinoma at the dermatojejunostomy 47 years after undergoing a Lexer procedure. The neoesophagus was removed, and the passage was reconstructed by a retrosternal colonic interposition. Although squamous cell carcinoma is known as a late complication of dermatoesophagoplasties, this is a reported case of adenocarcinoma formation.
Novotny
Alexander R
AR
Department of Surgery, Klinikum rechts der Isar, Technische Universität München, Munich, Germany. novotny@nt1.chir.med.tu-muenchen.de
Florack
Gerd
G
Becker
Karen
K
Siewert
Jorg-Rudiger
JR
D000230:Adenocarcinoma / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D002057:Burns, Chemical / Q000150:complications; D004938:Esophageal Neoplasms / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D004940:Esophageal Stenosis / Q000139:chemically induced / Q000601:surgery; D004944:Esophagoplasty / Q000009:adverse effects* / Q000379:methods; D005260:Female; D006801:Humans; D008875:Middle Aged; D016896:Treatment Outcome