Late Stenosis with Retraction of the Colon tower ads the Mediastinum in a Retrosternal Esophagocoloplasty

Authors

Keywords:

stenosis, retraction of the substitute organ, esophageal replacement.

Abstract

Introduction: Late stenosis and retraction of the substitute organ towards the mediastinum is a complex situation.

Objective: To show a minimally invasive alternative to retraction and retention of the colon towards the mediastinum after esophagocoloplasty.

Clinical case: The case is presented of an 18-year-old female patient with a history of accidental ingestion of a caustic product at one year and a half after birth. The treatment was a retrosternal esophagocoloplasty, for which the right colon was used. After 16 years, she presented an esophageal fistula with stenosis and retraction of the segment of the used colon towards the mediastinum.

Conclusions: It was feasible remove the colon retained in the mediastinum as well as perform the tubular esophagogastroplasty, since it always offers advantages. Multidisciplinary integration between adult and pediatric surgeons was very important, allowing this complex procedure to be performed.

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Author Biographies

Orestes Noel Mederos Curbelo, Hospital Universitario "Comandante Manuel Fajardo", La Habana,

Doctor en Ciencias. Profesor e Investigador Titular. Especialista de II Grado en Cirugia General.

Félix Santell Odio, Hospital Universitario “Agusthino Neto” de Guantánamo,

Especialista de II Grado en Cirugía General. Profesor Auxiliar.

Juan Carlos Barrera Ortega, Hospital Universitario "Comandante Manuel Fajardo", La Habana,

Especialista de II Grado en Cirugía General. Profesor Auxiliar.

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Published

2021-03-09

How to Cite

1.
Mederos Curbelo ON, Santell Odio F, Barrera Ortega JC. Late Stenosis with Retraction of the Colon tower ads the Mediastinum in a Retrosternal Esophagocoloplasty. Rev. Cub. Cir. [Internet]. 2021 Mar. 9 [cited 2025 May 8];60(1). Available from: https://revcirugia.sld.cu/index.php/cir/article/view/937

Issue

Vol. 60 No. 1 (2021): Enero - Marzo

Section

Presentaciones de casos

License

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