Ileocolonic Transposition Esophagogastric Bypass as an Antireflux Treatment for Corrosive Esophageal Injury

Because most surgeons perform an esophagectomy and colonic transposition as the main reconstruction method for patients
with esophageal stenosis caused by swallowing corrosive materials, we report 2 cases in which ileocolonic transposition
was used to treat such patients. Both patients displayed stenosis in the middle third of the esophagus. Their chief
complaint was dysphagia. Ileocolonic transposition using vascularization of the Drummond and ileal arteries was followed
by a prepared ileocolic graft by ligating ileocolic vessels. We performed an ileocolonic transposition esophagogastric
bypass without an esophagectomy. All surgeries resulted in minimal intraoperative bleeding. Patients experienced no
leakage, postoperative fistulas, dysphagia, or postoperative reflux. Three weeks after surgery, 1 patient experienced reversible
hoarseness caused by extensive laryngeal-nerve manipulation. Cumulatively, ileocolonic transposition with cervical
anastomosis for the treatment of patients with esophageal stenosis caused by corrosive esophageal injury can be considered
to be an antireflux treatment because the ileocaecal sphincter is maintained.

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