Revision surgery following colon interposition is a challenging problem. We describe a case of successful surgery for neo-esophago-sternocutaneous fistula as a late complication following coloesophagoplasty for intractable benign stricture. The cutaneous part of the fistula was excised and the distal part of the sternum was resected. On the anterior wall of the colon graft, there was a large defect that communicated with the posterior wall of the osteomyelitis-transformed sternum with sinus track formation. After excising the edges of the neoesophagus defect, Roux-en-Y neo-esophagojejunostomy and gastrostomy were carried out.
KellingGE.Oesophagoplastik mit Hilfe der Querkolon. Zentrabl Chir1911;
38: 1209.
2.
KotsisLKrisárZOrbánKCsekeöA.Late complications of coloesophagoplasty and long-term features of adaptation.Eur J Cardiothorac Surg2002;
21: 79–83.
3.
JeyasinghamKLerutTBelseyRH.Functional and mechanical sequelae of colon interposition for benign oesophageal disease.Eur J Cardiothorac Surg1999;
15: 327–331.
4.
de DelvaPMorseCRAustenWGJr, et al.
Surgical management of failed colon interposition.Eur J Cardiothorac Surg2008;
34: 432–437.
5.
ZahaoXSandhuBKievJ.Colobronchial fistula as a rare complication of coloesophageal interposition: a unique treatment with a review of the medical literature. Am Surg2005;
71: 1058–1059.
