Colon bypass with a colon-flap augmentation pharyngoesophagoplasty

• 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
• ISSN: 1937-8688; 1937-8688
• DOI: 10.11604/pamj.2015.21.275.6717

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.