Surgical Management of Graft Redundancy after Colon Interposition for Esophageal Reconstruction

Abstract

Colon graft redundancy is the most common late complication after colon interposition for esophageal re construction. Redundancy leads to mechanical dysfunction of the interposed colon and may occur several decades after initial reconstructive surgery. Food and liquid retention in the redundant colon causes disabling symptoms and nutritional disorders. When lifestyle modifications fail, surgical correction is indicated to improve life quality and to prevent complication. We describe two cases of interposed colon graft redundancy which were surgically treated with a successful surgical technique to correct this complication.