Recurrent cervical esophageal stenosis after colon conduit failure: use of myocutaneous flap.
A 53-year-old male developed cervical esophageal stenosis after esophageal bypass surgery using a right colon conduit. The esophageal bypass surgery was performed to treat multiple esophageal strictures resulting from corrosive ingestion three years prior to presentation. Although the patient underwent several endoscopic stricture dilatations after surgery, he continued to suffer from recurrent esophageal stenosis. We planned cervical patch esophagoplasty with a pedicled skin flap of sternocleidomastoid (SCM) muscle. Postoperative recovery was successful, and the patient could eat a solid meal without difficulty and has been well for 18 mo. SCM flap esophagoplasty is an easier and safer method of managing complicated and recurrent cervical esophageal strictures than other operations.
Department of Thoracic and Cardiovascular Surgery, St. Paul Hospital, The Catholic University of Korea, Seoul 130-709, South Korea.
Young Jo
YJ
Sa
Young Du
YD
Kim
Chi Kyung
CK
Kim
Jong Kyung
JK
Park
Seok Whan
SW
Moon
D002424:Caustics / Q000009:adverse effects; D002574:Cervical Vertebrae; D003106:Colon / Q000601:surgery* / Q000637:transplantation*; D004940:Esophageal Stenosis / Q000209:etiology / Q000601:surgery*; D004944:Esophagoplasty / Q000379:methods*; D006801:Humans; D006878:Hydroxides / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D064827:Myocutaneous Flap / Q000601:surgery* / Q000637:transplantation*; D017680:Potassium Compounds / Q000009:adverse effects; D055502:Secondary Prevention; D017211:Treatment Failure; D016896:Treatment Outcome
D002424:Caustics; D006878:Hydroxides; D017680:Potassium Compounds; C029943:potassium hydroxide
Cervical esophageal stenosis; Corrosive stricture; Esophageal conduit; Esophagoplasty; Esophagus; Myocutaneous flap; Surgery