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Ulcerative Colitis in Colonic Interposition for Esophageal Atresia

Hafiz Muhammad Sharjeel Arshad1, Eula Tetangco1, Imad Elkhatib1

  • 1University of Illinois, Advocate Christ Medical Center, Oak Lawn, IL.

ACG Case Reports Journal
|November 17, 2016
PubMed

Insights

A man developed ulcerative colitis in a colonic segment used to reconstruct his esophagus in infancy. This rare complication required diagnosis via endoscopy and pathology, highlighting the need for vigilance in long-term follow-up.

Area of Science:

  • Gastroenterology
  • Surgical Reconstruction
  • Inflammatory Bowel Disease

Background:

  • Colonic interposition is a surgical technique used to reconstruct the esophagus, often following treatment for esophageal atresia.
  • Long-term complications of esophageal reconstruction can include inflammatory or neoplastic changes within the transposed segment.

Observation:

  • A 38-year-old male presented with symptoms of dysphagia and abdominal pain.
  • The patient had a history of colonic interposition surgery during infancy for esophageal atresia.

Findings:

  • Endoscopic examination revealed findings consistent with ulcerative colitis within the colonic conduit.
  • Pathological analysis confirmed ulcerative colitis.
  • The patient's condition responded to appropriate therapy for ulcerative colitis.

Implications:

  • This case highlights the potential for developing ulcerative colitis in a colonic segment used for esophageal reconstruction.
  • It underscores the importance of considering inflammatory bowel disease in the differential diagnosis of symptoms arising from esophageal substitutes.
  • Long-term surveillance of patients with colonic interposition is crucial for early detection of complications such as ulcerative colitis.

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