Colon Interposition via the Retrosternal Approach without Enlargement of the Thoracic Inlet for the Management of Esophageal Stricture.
10.3342/kjorl-hns.2014.57.11.769
- Author:
Min Kwan BAEK
1
;
Joo Hyun WOO
;
Seung Wook HAN
;
Dong Young KIM
Author Information
1. Department of Otolaryngology-Head and Neck Surgery, Gachon University Gil Medical Center, Incheon, Korea. hndyk@gilhospital.com
- Publication Type:Original Article
- Keywords:
Colon interposition;
Esophageal stricture;
Thoracic inlet
- MeSH:
Bays*;
Colon*;
Constriction, Pathologic;
Deglutition Disorders;
Esophageal Stenosis*;
Follow-Up Studies;
Humans;
Retrospective Studies;
Transplants
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2014;57(11):769-773
- CountryRepublic of Korea
- Language:English
-
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.
