Shokrollahi Kayvan, Barham Paul, Blazeby Jane M, Alderson Derek
Ann Thorac Surg. 2002 Nov;74(5):1708-11. doi: 10.1016/s0003-4975(02)03864-x.
The redundancy and dysfunction of colonic interpositions is a recognized late complication of esophageal replacement, often occurring decades after the original surgery. A 34-year-old man, whose long-gap esophageal atresia was corrected as a child with large bowel interposition, presented with severe dysphagia and recurrent aspiration pneumonia. Imaging and endoscopy revealed a grossly abnormal and dysfunctional neo-esophagus. Symptoms were refractory to medical therapies, and necessitated occupational retirement on medical grounds. His case illustrates a successful surgical technique for correcting this complication.
结肠代食管冗余和功能障碍是食管替代术后公认的晚期并发症，通常在初次手术后数十年出现。一名34岁男性，儿童时期因长段食管闭锁接受大肠代食管术矫正，现出现严重吞咽困难和反复吸入性肺炎。影像学和内镜检查显示新食管严重异常且功能失调。药物治疗对症状无效，患者因健康原因不得不退休。他的病例展示了一种成功矫正该并发症的手术技术。
