Pharyngo-Oesophageal Reconstruction with Colon Bypass Plus Pectoralis Major Myocutaneous Flap For Corrosive Injury of Upper Gastrointestinal Tract

Dr. Chandan Kumar Saha, Dr. Sayar Kumar Munshi

Abstract: Corrosive acid stricture of long segment oesophagus along with pharynx and hypopharynx is a therapeutic challenge for thoracic surgeons. Corrosive stricture of pharyngo oesophageal area can very well be reconstructed with myocutaneous flaps like pectoralis major myocutaneous flap. On the other hand long segment oesophageal stricture may be well bypassed by pulling up of suitable abdominal viscera like colon. Post operative swallowing is satisfactory when reconstruction is done in such a combined procedure.

Keywords: oesophagus, hypopharynx, pectoralis major, myocutaneous flap, corrosive stricture