S Daldoul1, A Moussi2, S Sayari3, M Ben Moussa3. 1. Service de Chirurgie Générale "A", Hôpital Charles-Nicolle, boulevard 9-Avril-1938, 1006 Tunis, Tunisia; Faculté de Médecine de Tunis, Université Tunis El Manar, Tunis, Tunisia. Electronic address: samidaldoul@yahoo.fr. 2. Unité de Chirurgie Générale, Hôpital du Roi Faisal, 26514 As Sadad Taif, Saudi Arabia. 3. Service de Chirurgie Générale "A", Hôpital Charles-Nicolle, boulevard 9-Avril-1938, 1006 Tunis, Tunisia; Faculté de Médecine de Tunis, Université Tunis El Manar, Tunis, Tunisia.
Abstract
INTRODUCTION: The treatment of ischaemic stenosis of colon interposition for oesophageal replacement remains poorly defined. CASE REPORT: We report two cases of patients operated for ischaemic stenosis of the cervical extremity of the colon interposition for caustic stenosis of the oesophagus. Treatment consisted of resection of the stenosis with creation of a new cervical anastomosis after complete release of the colon graft via a neck and upper midline incision in one patient and a new ileocolic graft exclusively replacing the stenotic segment of the oesophagoplasty in the second patient. DISCUSSION: These two cases illustrate the complex treatment modalities required for this complication. CONCLUSION: The treatment of choice of ischaemic stenosis of colon interposition is resection with creation of a new anastomosis, but repeat graft may sometimes be the only available treatment option.
INTRODUCTION: The treatment of ischaemic stenosis of colon interposition for oesophageal replacement remains poorly defined. CASE REPORT: We report two cases of patients operated for ischaemic stenosis of the cervical extremity of the colon interposition for caustic stenosis of the oesophagus. Treatment consisted of resection of the stenosis with creation of a new cervical anastomosis after complete release of the colon graft via a neck and upper midline incision in one patient and a new ileocolic graft exclusively replacing the stenotic segment of the oesophagoplasty in the second patient. DISCUSSION: These two cases illustrate the complex treatment modalities required for this complication. CONCLUSION: The treatment of choice of ischaemic stenosis of colon interposition is resection with creation of a new anastomosis, but repeat graft may sometimes be the only available treatment option.