Surgical Treatment of Lye Strictures of the Esophagus by Mediastinal Colon Transplant without Resection

Abstract

LYE strictures of the esophagus have posed a technical challenge to surgeons for the past half century. The extensive inflammatory involvement of both the length and thickness of this organ in this condition renders excisional surgery difficult and hazardous. Yudin¹ and Rienhoff² have summarized the development of current methods of restoring pharyngogastric or intestinal continuity. Transthoracic esophageal resection with esophagogastrostomy is currently the most generally accepted technic of re-establishing alimentary continuity.^{3 , 4} To avoid the hazards of esophageal resection and the complications of esophagogastric anastomosis, the ascending colon was utilized in the performance of a pharyngocologastrostomy without resection in 2 patients . . .