Abstract
A 24-year-old male had undergone substernal right colon interposition for benign esophageal stricture following ingestion of a corrosive chemical 6 years earlier. The operation was complicated by postoperative anastomotic leak which though successfully managed conservatively, resulted in dysphagia 1 year later. The patient was noncompliant with follow-up visits despite worsening symptoms and presented 5 years later with complete dysphagia. Barium esophagogram revealed severe cervical anastomotic stricture. He subsequently underwent an uneventful sternotomy and revision of the anastomotic stricture with relief of his dysphagia. Though rare, this procedure can be safely performed without injury to the substernal colon by carefully freeing any underlying adhesions prior to inserting the sternal saw.
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