Esophageal replacement by colon interposition is done for a variety of esophageal diseases. Dysphagia occasionally develops many years after successful colon interposition. Redundancy of the colon graft is usually responsible. We report a patient with onset of dysphagia 24 years after presternal colon interposition for long segment esophageal atresia. Pathophysiology, prevention, and treatment of late colon interposition dysfunction are discussed.
Key words Colon, transplantation - Dysphagia - Esophageal atresia - Esophageal diseases, surgery - Postoperative complications - Deglutition - Deglutition disorders