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Ann Thorac Surg 2002;74:1708-1711
© 2002 The Society of Thoracic Surgeons

Case report

Surgical revision of dysfunctional colonic interposition after esophagoplasty

Kayvan Shokrollahi, MB, ChBa*, Paul Barham, MD, FRCSa, Jane M. Blazeby, MD, FRCSa, Derek Alderson, MD, FRCSa

a Department of Upper GI Surgery, Bristol Royal Infirmary, Bristol, United Kingdom

Accepted for publication May 30, 2002.

* Address reprint requests to Dr Shokrollahi, c/o Secretary to Professor D. Alderson, University Division of Surgery, Bristol Royal Infirmary, Malborough St, Bristol BS2 8HW, United Kingdom.

The redundancy and dysfunction of colonic interpositions is a recognized late complication of esophageal replacement, often occurring decades after the original surgery. A 34-year-old man, whose long-gap esophageal atresia was corrected as a child with large bowel interposition, presented with severe dysphagia and recurrent aspiration pneumonia. Imaging and endoscopy revealed a grossly abnormal and dysfunctional neo-esophagus. Symptoms were refractory to medical therapies, and necessitated occupational retirement on medical grounds. His case illustrates a successful surgical technique for correcting this complication.






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