Surgical reconstruction of the double lumen esophagus

Area of Science:

• Gastroenterology and Surgical Innovation

Background:

• Iatrogenic complications following Nissen fundoplication for gastroesophageal reflux disease (GERD) are uncommon.
• A double lumen esophagus is a rare congenital anomaly, but iatrogenic cases are exceptionally rare.

Observation:

• A young female presented with refractory dysphagia and failure to thrive post-infancy Nissen fundoplication.
• Imaging revealed an iatrogenic double lumen in the distal esophagus with severe narrowing of both passages.

Findings:

• This case represents the first documented instance of an iatrogenic double lumen esophagus.
• Successful surgical reconstruction using a novel stapling technique through a gastrotomy resolved the patient's refractory symptoms.

Implications:

• This report highlights a rare surgical complication and presents a successful, novel treatment strategy.
• The findings may inform surgical approaches and complication management in pediatric anti-reflux surgery.