Sa YJ, Kim YD, Kim CK, Park JK, Moon SW. Recurrent cervical esophageal stenosis after colon conduit failure: Use of myocutaneous flap. World J Gastroenterol 2013; 19(2): 307-310 [PMID: 23345956 DOI: 10.3748/wjg.v19.i2.307]
Corresponding Author of This Article
Seok Whan Moon, MD, PhD, Department of Thoracic and Cardiovascular Surgery, St. Paul Hospital, The Catholic University of Korea, Seoul 130-709, South Korea. swmoon@catholic.ac.kr
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
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World J Gastroenterol. Jan 14, 2013; 19(2): 307-310 Published online Jan 14, 2013. doi: 10.3748/wjg.v19.i2.307
Recurrent cervical esophageal stenosis after colon conduit failure: Use of myocutaneous flap
Young Jo Sa, Young Du Kim, Chi Kyung Kim, Jong Kyung Park, Seok Whan Moon
Young Jo Sa, Young Du Kim, Chi Kyung Kim, Seok Whan Moon, Department of Thoracic and Cardiovascular Surgery, St. Paul Hospital, The Catholic University of Korea, Seoul 130-709, South Korea
Jong Kyung Park, Department of General Surgery, St. Paul Hospital, The Catholic University of Korea, Seoul 130-709, South Korea
Author contributions: Sa YJ and Moon SW were responsible for research design and wrote the paper; Sa YJ, Kim YD, Park JK, and Moon SW performed surgical research; Sa YJ, Kim CK, and Moon SW analyzed and interpreted the data; Sa YJ and Moon SW designed the paper, drafted and revised the article, and obtained final approval.
Correspondence to: Seok Whan Moon, MD, PhD, Department of Thoracic and Cardiovascular Surgery, St. Paul Hospital, The Catholic University of Korea, Seoul 130-709, South Korea. swmoon@catholic.ac.kr
Telephone: +82-2-9582447 Fax: +82-2-9582447
Received: August 9, 2012 Revised: October 3, 2012 Accepted: October 30, 2012 Published online: January 14, 2013
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.
