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ESOPHAGUS

Stricture Dilation

Both benign and malignant stricture dilation result in perforation. Risk of perforation varies not only with underlying disease but also with how vigorous an attempt is made. Perforations range from intramural, transmural, to transmural with mediastinal leakage. Most perforations are managed medically, with only an occasional one requiring surgical correction. Some, especially if a fistula is evident, are successfully treated with a stent.

Surgery

Tumor recurrence developed at a thoracoscopic port site after thoracoscopically assisted total esophagectomy for squamous cell carcinoma (129); of interest is that the original tumor was not extracted through this port site.

An occasional neoplasm develops in an interposed colon years after esophageal resection and colonic interposition.

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ESOPHAGUS

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