Successful 2nd reconstruction for failed ileocolonic interposition after esophagectomy

• Published in: Esophagus : official journal of the Japan Esophageal Society Vol. 9; no. 3; pp. 180 - 183
• Main Authors: Nishikawa, Katsunori, Ishida, Katsuhiro, Uchida, Mitsuru, Kashiwagi, Hideyuki, Yuda, Masami, Sasaki, Toshiyuki, Tanishima, Yuichiro, Omura, Noburo, Ishibashi, Yoshiro, Mitsumori, Norio, Yanaga, Katsuhiko
• Format: Journal Article
• Language: English
• Published: Japan Springer Japan 01.09.2012; Springer Nature B.V
• Subjects: Case Report; Esophageal cancer; Esophagus; Gastroenterology; Gastrointestinal surgery; Medicine; Medicine & Public Health; Surgical Oncology; Thoracic Surgery; Throat surgery; Esophagectomy; Salvage reconstruction; Necrosis
• ISSN: 1612-9059; 1612-9067
• DOI: 10.1007/s10388-012-0319-7

We report a 53-year-old woman who underwent successful 2nd reconstruction following ileocolonic necrosis after esophagogastrectomy. The patient had the initial operation for simultaneous esophageal and gastric cancer with subtotal esophagectomy and total gastrectomy after retrosternal ileocolic reconstruction. Proximal ileocolonic necrosis developed on the 7th postoperative day and massive bleeding from the left carotid artery occurred 2 days later. She was referred to our hospital after recovery from the last operation for restoration of discontinued esophageal substitute. Partial sternal resection was followed by implantation of a free jejunal graft between the remnant colon and the cervical esophagus. The transferred jejunum was covered by a left latissimus dorsi musculocutaneous flap. Postoperative course was uneventful and she was discharged 29 days after operation. For extended necrosis of an esophageal substitute after retrosternal reconstruction for esophageal surgery, this surgical procedure seems to result in less surgical stress with physiological and cosmetic benefit.