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KMID : 0364020080410050671
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Korean Journal of Thoracic and Cardiovascular Surgery
2008 Volume.41 No. 5 p.671 ~ p.674
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Secondary Esophageal Reconstruction for Esophageal Atresia
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Sa Young-Jo
Park Jae-Kil
Jeon Hae-Myung
Moon Young-Gyu
Sim Sung-Bo
Lee Sun-Hui
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Abstract
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Jejunum and fasciocutaneous and myocutaneous flaps are theoretically recommended as esophageal substitutes in reconstruction of the esophagus after several occurrences of failed reconstruction. However, other esophageal substitutes should also be considered. Secondary esophageal reconstruction was successfully performed on a 24-year- old woman who had a history of cervical, thoracic, and abdominal operations and esophageal stricture secondary to several failed reconstructions for esophageal atresia and tracheo-esophageal fistula 21 years prior. The esophageal reconstruction was done subcutaneously by end-to-side anastomosis at the left cervical area using a deformed stomach graft. The patient was discharged with the ability to consume a regular diet after the operation.
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KEYWORD
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Esophageal congenital anomalies, Esophageal surgery, Reoperation
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