# Retrosternal Colonic Bypass for Intractable Esophagogastric Anastomotic Stricture Post-Ivor-Lewis Esophagectomy

## TL;DR

A rare case of a difficult-to-treat esophageal stricture after surgery is managed with a complex bypass procedure.

## Contribution

Presentation of a novel surgical approach for an extremely rare complication following esophagectomy.

## Key findings

- Retrosternal colonic bypass was used to manage an intractable esophagogastric anastomotic stricture.
- The procedure included a distal Roux-en-Y neoesophagojejunal reconstruction and double enterostomy with Braun anastomosis.
- This case highlights a rare complication and its surgical management in a young patient.

## Abstract

Intractable stricture of the esophagogastric anastomosis after Ivor-Lewis esophagectomy for esophageal corrosive burn is an extremely rare complication. We present the case of a 28-year-old man with complaints of dysphagia and two attempts for bougie dilation without effect. Retrosternal colonic bypass and distal Roux-en-Y neoesophagojejunal reconstruction, as well as double enterostomy with Braun anastomosis, were performed.