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Revista Cubana de Cirugía

versão On-line ISSN 1561-2945

Resumo

MEDEROS CURBELO, Orestes Noel; SANTELL ODIO, Félix  e  BARRERA ORTEGA, Juan Carlos. Late Stenosis with Retraction of the Colon tower ads the Mediastinum in a Retrosternal Esophagocoloplasty. Rev Cubana Cir [online]. 2021, vol.60, n.1  Epub 01-Mar-2021. ISSN 1561-2945.

Introduction:

Late stenosis and retraction of the substitute organ towards the mediastinum is a complex situation.

Objective:

To show a minimally invasive alternative to retraction and retention of the colon towards the mediastinum after esophagocoloplasty.

Clinical case:

The case is presented of an 18-year-old female patient with a history of accidental ingestion of a caustic product at one year and a half after birth. The treatment was a retrosternal esophagocoloplasty, for which the right colon was used. After 16 years, she presented an esophageal fistula with stenosis and retraction of the segment of the used colon towards the mediastinum.

Conclusions:

It was feasible remove the colon retained in the mediastinum as well as perform the tubular esophagogastroplasty, since it always offers advantages. Multidisciplinary integration between adult and pediatric surgeons was very important, allowing this complex procedure to be performed.

Palavras-chave : stenosis; retraction of the substitute organ; esophageal replacement.

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