Salvage of total esophageal reconstruction with microvascular free left colon flap

Esophageal reconstruction has been achieved with a variety of innovative surgical techniques, including colonic interposition, gastric pull-up, pedicled, and free jejunal grafts. The authors describe an unusual case of complete thoracic esophageal reconstruction, necessitating an entirely free microvascular colon interposition as a salvage procedure to reconstitute the alimentary tract from the neck to the abdomen. To their knowledge, this specific method of reconstruction of the esophagus has not been previously reported.