Department of General Surgery, Rush University Medical Center, Chicago, Illinois 60612-3824, USA.
Ann Thorac Surg. 2011 Dec;92(6):e113-4. doi: 10.1016/j.athoracsur.2011.06.025.
Colon interposition for benign stricture is associated with significant perioperative complications that carry high morbidity and mortality, but long-term sequelae such as further strictures and colonic redundancy are often well-tolerated. These benign complications are frequently described in literature, but adenocarcinoma in the colonic graft is a rare complication. We describe a 60-year-old man with a history of benign esophageal stricture who was treated with colon interposition 40 years ago and presented with dysphagia secondary to stage 1 colon graft adenocarcinoma. He was successfully treated with an Ivor Lewis esophagectomy and primary esophagogastric anastomosis.
结肠间置术治疗良性狭窄与显著的围手术期并发症相关，这些并发症具有较高的发病率和死亡率，但长期后果，如进一步的狭窄和结肠冗余，通常可以很好地耐受。这些良性并发症在文献中经常被描述，但结肠移植物中的腺癌是一种罕见的并发症。我们描述了一位 60 岁男性，他有良性食管狭窄病史，40 年前接受了结肠间置术，目前因 1 期结肠移植物腺癌出现吞咽困难。他成功地接受了 Ivor Lewis 食管癌切除术和胃食管端端吻合术。
