Original treatment for ischaemic stenosis of colon interposition: Report of two cases

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.