title: Colon bypass with a colon-flap augmentation pharyngoesophagoplasty.
abstract: Extensive caustic stricture of the upper aero-digestive system (oro- and hypo-pharynx) is a severe injury with limited surgical options. We adopted augmentation of the cicatrized upper aero-digestive tract with colon as our preferred management option. The aim of this report is to describe our initial experience with the technique of colon-flap augmentation pharyngo-esophagoplasty (CFAP) for selected patients with severe pharyngo-esophageal stricture. Between October 2011 and June 2013, three male patients (aged 16, 4 and 18 years respectively) underwent CFAP following extensive pharyngo-esophageal stricture. Postoperative recovery was uneventful in all three cases and all started swallowing within 7-10 days after surgery without significant dysphagia. Colon-flap augmentation pharyngo-esophagoplasty is an effective procedure for reconstruction of the pharynx and the hypopharynx after extensive caustic pharyngoesophageal structure in selected cases.
authors.affiliation: National Cardiothoracic Centre, Korle Bu Teaching Hospital, Accra, Ghana ; University of Ghana School of Medicine and Dentistry, Ghana.
authors.forename: Mark
authors.initials: M
authors.lastname: Tettey
authors.affiliation: National Cardiothoracic Centre, Korle Bu Teaching Hospital, Accra, Ghana.
authors.forename: Frank
authors.initials: F
authors.lastname: Edwin
authors.affiliation: National Cardiothoracic Centre, Korle Bu Teaching Hospital, Accra, Ghana ; University of Ghana School of Medicine and Dentistry, Ghana.
authors.forename: Ernest
authors.initials: E
authors.lastname: Aniteye
authors.affiliation: National Cardiothoracic Centre, Korle Bu Teaching Hospital, Accra, Ghana.
authors.forename: Martin
authors.initials: M
authors.lastname: Tamatey
authors.affiliation: National Cardiothoracic Centre, Korle Bu Teaching Hospital, Accra, Ghana.
authors.forename: Ekow
authors.initials: E
authors.lastname: Entsua-Mensah
authors.affiliation: National Cardiothoracic Centre, Korle Bu Teaching Hospital, Accra, Ghana ; University of Ghana School of Medicine and Dentistry, Ghana.
authors.forename: Ernest
authors.initials: E
authors.lastname: Offosu-Appiah
authors.affiliation: National Cardiothoracic Centre, Korle Bu Teaching Hospital, Accra, Ghana.
authors.forename: Innocent
authors.initials: I
authors.lastname: Adzamli
mesh_terms: D000293:Adolescent; D002057:Burns, Chemical / Q000150:complications; D002675:Child, Preschool; D003106:Colon / Q000601:surgery*; D003251:Constriction, Pathologic / Q000139:chemically induced / Q000601:surgery; D004940:Esophageal Stenosis / Q000139:chemically induced / Q000601:surgery*; D004944:Esophagoplasty / Q000379:methods*; D006801:Humans; D008297:Male; D010608:Pharyngeal Diseases / Q000139:chemically induced / Q000601:surgery*; D012720:Severity of Illness Index; D013524:Surgical Flaps
keywords: Pharyngo-esophageal stricture; colon-flap; dysphagia; pharyngo-esophagoplasty