Korean J Otorhinolaryngol-Head Neck Surg.  2014 Nov;57(11):769-773. 10.3342/kjorl-hns.2014.57.11.769.

Colon Interposition via the Retrosternal Approach without Enlargement of the Thoracic Inlet for the Management of Esophageal Stricture

• Baek MK
• Woo JH
• Han SW
• Kim DY

• KMID: 1963756
• DOI: http://doi.org/10.3342/kjorl-hns.2014.57.11.769

Abstract

BACKGROUND AND OBJECTIVES
To report our experience of colon interposition without thoracic inlet widening for the management of esophageal stricture.
SUBJECTS AND METHOD
Between 2005 and 2012, five patients underwent esophageal replacement using colon graft. Clinical data, such as surgical techniques including thoracic inlet widening, surgical outcomes, and patient's age and gender were retrospectively analyzed. The follow-up period ranged from 10 months to 5 years.
RESULTS
All five patients had corrosive esophageal stricture and underwent colon interposition without thoracic inlet widening; four underwent pharyngocologastrostomy and one total laryngopharyngectomy and pharyngocologastrostomy. No major complications, such as aspiration, dysphagia, reflux, or swallowing disorder developed during the postoperative long term follow-up.
CONCLUSION
A colon graft without enlargement of the thoracic inlet is an excellent esophageal substitute for patients with an esophageal corrosive stricture. Further surgical experience and more long-term follow-up data are required to produce more precise and statistically meaningful results.

Keyword

Colon interposition; Esophageal stricture; Thoracic inlet

MeSH Terms

Bays*
Colon*
Constriction, Pathologic
Deglutition Disorders
Esophageal Stenosis*
Follow-Up Studies
Humans
Retrospective Studies
Transplants