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...

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Veröffentlicht in:European annals of otorhinolaryngology, head and neck diseases head and neck diseases, 2017-02, Vol.134 (1), p.43-45
Hauptverfasser: Daldoul, S, Moussi, A, Sayari, S, Ben Moussa, M
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container_title European annals of otorhinolaryngology, head and neck diseases
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creator Daldoul, S
Moussi, A
Sayari, S
Ben Moussa, M
description 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.
doi_str_mv 10.1016/j.anorl.2016.08.004
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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. 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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. 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subjects Adult
Anastomosis, Surgical
Burns, Chemical - complications
Burns, Chemical - surgery
Caustic injury
Colon - transplantation
Colon interposition
Constriction, Pathologic - etiology
Constriction, Pathologic - surgery
Esophageal Sphincter, Upper - injuries
Esophageal Sphincter, Upper - surgery
Esophagectomy
Female
Humans
Ischaemia
Ischemia - etiology
Ischemia - surgery
Laryngostenosis - etiology
Laryngostenosis - surgery
Otolaryngology
Pharynx - surgery
Postoperative Complications
Stenosis
Transplants - blood supply
Transplants - surgery
title Original treatment for ischaemic stenosis of colon interposition: Report of two cases
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