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World J Gastroenterol. 2013 Jan 14;19(2):307-10. doi: 10.3748/wjg.v19.i2.307.

Recurrent cervical esophageal stenosis after colon conduit failure: use of myocutaneous flap.

Author information

1
Department of Thoracic and Cardiovascular Surgery, St. Paul Hospital, The Catholic University of Korea, Seoul 130-709, South Korea.

Abstract

A 53-year-old male developed cervical esophageal stenosis after esophageal bypass surgery using a right colon conduit. The esophageal bypass surgery was performed to treat multiple esophageal strictures resulting from corrosive ingestion three years prior to presentation. Although the patient underwent several endoscopic stricture dilatations after surgery, he continued to suffer from recurrent esophageal stenosis. We planned cervical patch esophagoplasty with a pedicled skin flap of sternocleidomastoid (SCM) muscle. Postoperative recovery was successful, and the patient could eat a solid meal without difficulty and has been well for 18 mo. SCM flap esophagoplasty is an easier and safer method of managing complicated and recurrent cervical esophageal strictures than other operations.

KEYWORDS:

Cervical esophageal stenosis; Corrosive stricture; Esophageal conduit; Esophagoplasty; Esophagus; Myocutaneous flap; Surgery

PMID:
23345956
PMCID:
PMC3547574
DOI:
10.3748/wjg.v19.i2.307
[Indexed for MEDLINE]
Free PMC Article
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