Colon bypass with a colon-flap augmentation pharyngoesophagoplasty

Extensive caustic stricture of the upper aero-digestive system (oro- and hypo-pharynx) is a severe injury with limited surgical options. We adopted augmentation of the cicatrized upper aero-digestive tract with colon as our preferred management option. The aim of this report is to describe our initi...

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Bibliographic Details
Published in:The Pan African medical journal 2015-08, Vol.21 (275), p.275-275
Main Authors: Tettey, Mark, Edwin, Frank, Aniteye, Ernest, Tamatey, Martin, Entsua-Mensah, Ekow, Offosu-Appiah, Ernest, Adzamli, Innocent
Format: Article
Language:English
Subjects:
Adolescent
Burns, Chemical - complications
Case Series
Child, Preschool
Colon - surgery
colon-flap
Constriction, Pathologic - chemically induced
Constriction, Pathologic - surgery
dysphagia
Esophageal Stenosis - chemically induced
Esophageal Stenosis - surgery
Esophagoplasty - methods
Humans
Male
Pharyngeal Diseases - chemically induced
Pharyngeal Diseases - surgery
pharyngo-esophageal stricture
pharyngo-esophagoplasty
Severity of Illness Index
Surgical Flaps
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Summary:Extensive caustic stricture of the upper aero-digestive system (oro- and hypo-pharynx) is a severe injury with limited surgical options. We adopted augmentation of the cicatrized upper aero-digestive tract with colon as our preferred management option. The aim of this report is to describe our initial experience with the technique of colon-flap augmentation pharyngo-esophagoplasty (CFAP) for selected patients with severe pharyngo-esophageal stricture. Between October 2011 and June 2013, three male patients (aged 16, 4 and 18 years respectively) underwent CFAP following extensive pharyngo-esophageal stricture. Postoperative recovery was uneventful in all three cases and all started swallowing within 7-10 days after surgery without significant dysphagia. Colon-flap augmentation pharyngo-esophagoplasty is an effective procedure for reconstruction of the pharynx and the hypopharynx after extensive caustic pharyngoesophageal structure in selected cases.
ISSN:1937-8688
1937-8688
DOI:10.11604/pamj.2015.21.275.6717