Ileocolonic transposition esophagogastric bypass as an antireflux treatment for corrosive esophageal injury

Abstract

Because most surgeons perform an esophagectomy and colonic transposition as the main reconstruction method for pa-tients with esophageal stenosis caused by swallowing corrosive materials, we report 2 cases in which ileocolonic transpo-sition was used to treat such patients. Both patients displayed stenosis in the middle third of the esophagus. Their chief complaint was dysphagia. Ileocolonic transposition using vascularization of the Drummond and ileal arteries was fol-lowed by a prepared ileocolic graft by ligating ileocolic vessels. We performed an ileocolonic transposition esophagogas-tric bypass without an esophagectomy. All surgeries resulted in minimal intraoperative bleeding. Patients experienced no leakage, postoperative fistulas, dysphagia, or postoperative reflux. Three weeks after surgery, 1 patient experienced revers-ible hoarseness caused by extensive laryngeal-nerve manipulation. Cumulatively, ileocolonic transposition with cervical anastomosis for the treatment of patients with esophageal stenosis caused by corrosive esophageal injury can be consid-ered to be an antireflux treatment because the ileocaecal sphincter is maintained.