[Esophagus replacement with anisoperistaltic left colon after removal of skin tube cancer]

Area of Science:

• Gastroenterology
• Surgical Oncology
• Reconstructive Surgery

Background:

• A patient with a history of esophageal injury underwent gastric resection and skin tube esophagoplasty.
• Previous right colon removal due to failed reconstruction complicated the patient's treatment options.

Observation:

• Twenty-one years post-initial surgery, carcinoma developed in the skin tube esophagus.
• The patient required tumor removal and a novel esophageal substitute.

Findings:

• Anisoperistaltic left colon was utilized as a 'new esophagus', supplied by the left colic artery and supercharged via neck anastomosis.
• This reconstructive approach successfully replaced the diseased esophageal segment.

Implications:

• Esophageal replacement with anisoperistaltic left colon presents a viable, albeit unconventional, therapeutic strategy.
• This case highlights the potential of colonic interposition in complex esophageal reconstruction scenarios where standard options are exhausted.