Experience of Esophageal Reconstruction With Pedicled Jejunal Graft in Children With Esophageal Stenosis due to Corrosive Esophagitis: A Case Report

Abstract

We report two children (4 y and 1 y-6 m old boys) with esophageal stenosis due to corrosive esophagitis in whom orthotopic jejunal pedicled graft reconstructions of the esophagus had been carried out. Conservative treatments with balloon dilatation had no effect and esophageal replacement was done 6 and 11 months after the injury, respectively. Postoperative anastomotic strictures in both patients were successfully dilated with balloon dilatation, and both patients recovered to the normal diet 3 and 5 months after reconstruction, respectively.
Although esophageal reconstruction with a pedicled jejunal graft is a good and ideal operation for replacement of the esophagus, certain considerations (anastomotic site, gaining enough length with a sufficiently long vascular pedicle, and postoperative treatment of anastomotic strictures) are needed to make it successful.