Distended neoesophagus in a man with congenital esophageal atresia
A 33-year-old man presented with abdominal fullness, chest tightness, and weight loss. He had undergone esophageal reconstruction at age 2 for congenital esophageal atresia. Sequelae of substernal interposed ileocolon gradually developed, including narrowing of cologastrostomy, subxiphoid compression of neoesophagus, redundancy of neoesophagus, and intestinal adhesion. In order to solve the aforementioned problems, he underwent revision surgery including enterolysis, release of subxiphoid compression, revision of cologastrostomy, and creation of colojejunostomy. Following the revision surgery, the alimentary tract achieved good patency and the neoesophagus yielded shrinking. He was discharged uneventfully on postoperative day 14.