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Ann Thorac Surg 2005;80:1122-1124
© 2005 The Society of Thoracic Surgeons

Case report

Esophageal Replacement by Lexer’s Esophagoplasty: Adenocarcinoma as Late Complication

Alexander R. Novotny, MD * , Gerd Florack, MD, Karen Becker, MD, Jorg-Rudiger Siewert, MD, PhD

Departments of Surgery and Pathology, Klinikum rechts der Isar, Technische Universität München, Munich, Germany

Accepted for publication March 17, 2004.

* Address reprint requests to Dr Novotny, Department of Surgery, Klinikum rechts der Isar der TU-München, Ismaninger Str 22, 81675 Munich, Germany; (Email: novotny{at}nt1.chir.med.tu-muenchen.de).

The most successful method for esophageal reconstruction in the early 20th century was the jejunodermatoesophagoplasty after Lexer, involving the presternal formation of a skin tube for passage reconstruction. A 59-year-old patient presented to our hospital with adenocarcinoma at the dermatojejunostomy 47 years after undergoing a Lexer procedure. The neoesophagus was removed, and the passage was reconstructed by a retrosternal colonic interposition. Although squamous cell carcinoma is known as a late complication of dermatoesophagoplasties, this is a reported case of adenocarcinoma formation.






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