Viet Trung Lam, MD, PhD, Dung Tien Tran Phung, MD, PhD. Cho Ray hospital, Ho Chi Minh City, Vietnam
Background: Esophagectomy to treat esophageal chemical stricture is often combined with high morbidity due to extended adhesion and cicatrisation around the affected esophagus.
Aim: To evaluate the feasibility and results of colon by-pass surgery with left colon in treatment of esophageal chemical stricture.
Method: Prospective study. All cases with esophageal chemical stricture on the middle and lower third of esophagus with complete stricture were included. We use left colon with left colonic pedicle via substernal tunnel to perform an isoperistaltic bypass from cervical esophagus to stomach.
Results: From 01/2015 to 01/2018, we performed 8 cases of colon by-pass surgery with left colon in treatment of esophageal chemical stricture at Choray hospital. Mean operation time was 4 hours. There was no postoperative anastomotic leak or stricture. Patients can eat well after operation without regurgitation. The controlled postoperative endoscopy and contrast study showed good anastomosis. With mean follow-up time of 22 months, there was no further complications noted.
Conclusion: Colon by-pass surgery with left colon is feasible and effective in treatment of esophageal chemical stricture in selected patients. It improves patients quality of life without the need of esophagectomy. Longer follow-up time would be needed to further evaluate the role of this operation.
Keyword: colon by-pass surgery, esophageal chemical stricture.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 95150
Program Number: P481
Presentation Session: Poster Session (Non CME)
Presentation Type: Poster