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Case Report
 
Complex esophageal reconstruction after esophagogastrectomy with non-supercharged right colon interposition for the treatment of lye ingestion
Paige Finkelstein1, Omar Picado1, Elizabeth Paulus1, Janeth Ng2' Gabriel Ruiz3,4 Danny Yakoub1
1Division of Surgical Oncology, University of Miami Miller School of Medicine, Miami, FL, USA
2Digital Media Arts College, Boca Raton, FL, USA; 3Division of Trauma and Critical Care, University of Miami Miller School of Medicine, Miami, FL, USA
3Department of Surgery, University of Miami, Miller School of Medicine, Miami, FL, USA

Article ID: Z01201706CR10799PF
doi:10.5348/ijcri-201760-CR-10799

Address correspondence to:
Danny Yakoub
MD PhD FACS, Division of Surgical Oncology, University of Miami - Miller School of Medicine
Jackson Memorial Hospital/Sylvester Comprehensive Cancer Center
1120 NW 14th Street, CRB C232, Miami
Florida 33136

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How to cite this article
Finkelstein P, Picado O, Paulus E, Ng J, Ruiz G, Yakoub D. Complex esophageal reconstruction after esophagogastrectomy with non-supercharged right colon interposition for the treatment of lye ingestion. Int J Case Rep Images 2017;8():412–416.


ABSTRACT

Introduction: Lye injury to the esophagus often produces necrotic injury, but gastric injury is less common; subsequently, gastric pull-up surgery can be performed to reconstruct the esophagus. Herein, we present a case where the stomach was destroyed and had to be removed, forcing alternative reconstruction to be performed.
Case Report: A 67-year-old male requiring total esophagogastrectomy after lye ingestion presented for reconstruction where gastric pull-up surgery was no longer a viable option. We performed a novel right-colonic interposition leaving the cecum in place, combined with a Roux-en-Y procedure to replace both the esophagus and stomach. The patient made a full recovery, experiencing few complications after the reconstructive surgery.
Conclusion: Complex esophageal reconstruction using a non-supercharged colon bypass in the retrosternal route can be used in esophageal replacement in cases with esophagogastrectomy for lye ingestion or otherwise. This can be done with leaving the ileocecal valve in place.

Keywords: Caustic injury, Colon interposition, Colonic interposition, Esophagogastrectomy, Lye ingestion



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Author Contributions
Paige Finkelstein – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Omar Picado – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Elizabeth Paulus – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Janeth Ng – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Gabriel Ruiz – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Danny Yakoub – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2017 Paige Finkelstein et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.