Salvage of Esophageal Reconstruction with Colon Free Flap.

Lee, Sang Woo; Minn, Kyung Won

Case Report

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2006;33(2):245-248.
Published online March 1, 2006.

Salvage of Esophageal Reconstruction with Colon Free Flap.

Sang Woo Lee, Kyung Won Minn

Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea. minnkw@snu.ac. kr

Abstract

Besides gastric pull-up or colonic interposition, microvascular technique in esophageal reconstruction has been approved reliable methods. When free intestinal transfer is considered, jejunal free flap is commonly used. We treated the patient who had undergone reconstruction with a right colon interposition and suffered from inability of swallowing because of stricture and necrosis of the interposed flap. Although we have planned jejunal free transfer, we couldn't use jejunum due to adhesion by previous gastrojejunostomy and colon interposition. Salvage procedure with microvascualr free left colon flap was executed successfully. After 9 month follow-up, the patient was able to consume a normal diet.

Keywords: Esophageal reconstruction; Colon free flap