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Case ReportOpen Access
Esophageal Conduit in Nearly Hopeless Corrosive Esophageal Stricture Patient
Sittitrai P 
,
Sawangtham T
,
Sawangtham T The case report of a 28 year old woman with strictured esophagus from corrosive esophagitis
for 4 months is presented. Barium swallowing showed a strictured esophagus extending from T2
to the aortic knob and needed frequent dilatations. The patient had a perforated thoracic esophagus
and mediastinitis on last dilatation. Cervical esophagostomy, transabdominal esophageal bandaging
and jejunostomy feeding were done along with intravenous broad spectrum antibiotics. On esophagoscopy,
there was complete stenosis of the cervical esophagus 2 em from the postcricoid area. The
large intestine from the caecum, transverse colon and descending colon was chosen as the esophageal
conduit because of adequate length to pass subcutaneously. The caecum was anastomosed to
the cervical esophagus and descending colon to the stomach. Seven days postoperatively, the
patient could take liquids and soft porridge orally. There was a small leakage from the cervical
anastomosed, spontaneous closure was achieved 3 weeks postoperatively.
We chose the right side colon as the esophageal conduit because of adequate length to
pass subcutaneously. Mediastinal and transhiatal routes could not be passed because of previous
mediastinitis from thoracic esophageal perforation. This may be an alternative choice of operation
for high cervical esophageal stenosis with previous mediastinitis.
for 4 months is presented. Barium swallowing showed a strictured esophagus extending from T2
to the aortic knob and needed frequent dilatations. The patient had a perforated thoracic esophagus
and mediastinitis on last dilatation. Cervical esophagostomy, transabdominal esophageal bandaging
and jejunostomy feeding were done along with intravenous broad spectrum antibiotics. On esophagoscopy,
there was complete stenosis of the cervical esophagus 2 em from the postcricoid area. The
large intestine from the caecum, transverse colon and descending colon was chosen as the esophageal
conduit because of adequate length to pass subcutaneously. The caecum was anastomosed to
the cervical esophagus and descending colon to the stomach. Seven days postoperatively, the
patient could take liquids and soft porridge orally. There was a small leakage from the cervical
anastomosed, spontaneous closure was achieved 3 weeks postoperatively.
We chose the right side colon as the esophageal conduit because of adequate length to
pass subcutaneously. Mediastinal and transhiatal routes could not be passed because of previous
mediastinitis from thoracic esophageal perforation. This may be an alternative choice of operation
for high cervical esophageal stenosis with previous mediastinitis.
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