Colon bypass with a colon-flap augmentation pharyngoesophagoplasty

  • Mark Tettey
  • Frank Edwin
  • Ernest Aniteye
  • Martin Tamatey
  • Ekow Entsua-Mensah
  • Ernest Offosu-Appiah
  • Innocent Adzamli
Keywords: Pharyngo-esophageal stricture, colon-flap, pharyngo-esophagoplasty, dysphagia


Extensive caustic stricture of the upper aero-digestive system (oro- and hypo-pharynx) is a severe injury with limited surgical options. We adopted augmentation of the cicatrized upper aero-digestive tract with colon as our preferred management option. The aim of this report is to describe our initial experience with the technique of colon-flap augmentation pharyngo-esophagoplasty (CFAP) for selected patients with severe  pharyngoesophageal stricture. Between October 2011 and June 2013, three male patients (aged 16, 4 and 18 years respectively) underwent CFAP following extensive pharyngo-esophageal stricture. Postoperative recovery was uneventful in all three cases and all started swallowing within 7 - 10 days after surgery without significant dysphagia. Colon-flap augmentation pharyngo-esophagoplasty is an effective procedure for  reconstruction of the pharynx and the hypopharynx after extensive caustic pharyngoesophageal structure in selected cases.

Key words: Pharyngo-esophageal stricture, colon-flap, pharyngo-esophagoplasty, dysphagia


Journal Identifiers

eISSN: 1937-8688