Esophageal Reconstruction by Hypopharyngointestinal Anastomosis in Corrosive Upper Esophageal Stricture.
- Author:
Jae Gil PARK
1
;
Sun Hi LEE
;
Yoon Hee JANG
;
Woong CHIN
;
Moon Sub KWAK
;
Se Wha KIM
;
Sung Won CHUN
Author Information
1. Dept. of Thoracic & Cardiovascular Surgery, St. Mary's Hospital, Catholic University Medical College, Korea.
- Publication Type:Original Article
- Keywords:
Esophageal stricture;
Esophageal reconstruction
- MeSH:
Alkalies;
Body Weight;
Colon;
Constriction, Pathologic;
Deglutition Disorders;
Esophageal Stenosis*;
Esophagus;
Female;
Follow-Up Studies;
Humans;
Ileocecal Valve;
Ileum;
Male;
Mortality
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1998;31(9):893-898
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
MATERIAL AND METHOD: Esophageal reconstruction by the hypopharyngointestinal anastomosis was done in 7 patients of corrosive upper esophageal stricture at St. Mary's Hospital from August 1995 to January 1997. RESULT: There were one male and six female patients ranging from 20 to 63 years of age. The causative agents were acid in 6 patients and alkali in 1 patient. The esophageal reconstruction was made by hypopharyngcolojejunostomy in 4 patients and hypopharyngocologastrostomy in 3 patients. There were no operative mortalities. One patient developed anastomotic stenosis but others were free from dysphagia. All gained 4 kg to 13 kg of body weight during the follow-up period. CONCLUSION: In this experience right colon and terminal ileum including ileocecal valve was revealed as a good substitute for the esophagus and the esophageal reconstruction by hypopharyngocologastro (jejuno)stomy seems to be a satisfactory method with acceptable morbidity and mortality in corrosive upper esophageal stricture patient.
