Surgical reconstruction of the double lumen esophagus.

We describe an unusual case of iatrogenic double lumen esophagus in a young female who underwent a Nissen fundoplication surgery for gastroesophageal reflux disease (GERD) in infancy. The patient suffered from refractory symptoms, including dysphagia and failure to thrive before she was evaluated and noted to have a double-lumen in the distal esophagus leading to the stomach with both lumina being extremely narrow. This condition has only rarely been described in the literature. Her symptoms were reversed after surgical reconstruction of the distal esophagus using a novel stapling technique through a gastrotomy. This is the first report of successful surgical reconstruction of a double lumen esophagus.