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Ann Thorac Surg 2001;71:1695-1697
© 2001 The Society of Thoracic Surgeons

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Case report

Redoing reconstruction of the esophagus using remnants of the ileo-left colon aided by microvascular anastomosis

^a Divisions of Thoracic Surgery and Plastic Surgery, Department of Surgery, College of Medicine, National Cheng Kung University, Tainan, Taiwan

Accepted for publication July 15, 2000.

Theoretically, the jejunum, fasciocutaneous or myocutaneous flap is recommended as an esophageal substitute in redoing reconstruction of the esophagus after a second incidence of corrosive injury. However, other esophageal substitutes should also be considered. We present a case of a 42-year-old woman who underwent esophageal reconstruction using an ileocolon graft for corrosive esophageal stricture ten years before. The patient ingested caustic drain cleaner again and underwent resection of the ileocolon graft secondary to corrosive necrosis. Two and a half months after the second incidence of corrosive injury, reconstruction of the esophagus was again performed using a graft of remnant ileo-left colon aided by microvascular anastomosis. The patient was able to swallow a regular diet after the procedure. Remnant ileo-left colon is a good alternative esophageal substitute in cases of repeated corrosive injury.

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