[30-year experience with performing esophagoplasty using the large intestine]

Area of Science:

• Gastroenterology
• Surgical Oncology
• Regenerative Medicine

Context:

• Chemical burns severely damage the esophagus and stomach, necessitating reconstructive surgery.
• Traditional treatments have limitations in restoring full function and patient quality of life.

Purpose:

• To evaluate the long-term efficacy and safety of colonic esophagoplasty for esophageal and gastric reconstruction.
• To present a refined surgical technique based on extensive clinical experience.

Summary:

• Colonic esophagoplasty has been utilized for 30 years to restore esophageal and stomach function post-chemical burn.
• Treatment of 354 patients indicates this method is optimal, with a 2% mortality rate and 11% complication rate.
• Vocational rehabilitation was achieved in 69% of patients, highlighting functional recovery.

Impact:

• Colonic esophagoplasty represents a highly effective and safe reconstructive option for severe esophageal and gastric injuries.
• The procedure significantly improves patient outcomes, enabling a return to vocational activities and enhanced quality of life.