Korean J Thorac Cardiovasc Surg.  1998 Sep;31(9):893-898.

Esophageal Reconstruction by Hypopharyngointestinal Anastomosis in Corrosive Upper Esophageal Stricture

• Park JG
• Lee SH
• Jang YH
• Chin W
• Kwak MS
• Kim SW
• Chun SW

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.

Keyword

Esophageal stricture; Esophageal reconstruction

MeSH Terms

Alkalies
Body Weight
Colon
Constriction, Pathologic
Deglutition Disorders
Esophageal Stenosis*
Esophagus
Female
Follow-Up Studies
Humans
Ileocecal Valve
Ileum
Male
Mortality
Alkalies