# Salvage Antiperistaltic Left Colon Conduit for Caustic Esophageal Stricture: A Viable Alternative Route in a Hostile Mediastinum

## TL;DR

A rare surgical approach using the left colon is presented as a solution for severe esophageal damage when other treatments fail.

## Contribution

A novel salvage antiperistaltic left colon conduit is described for corrosive esophageal stricture management.

## Key findings

- Endoscopic dilatation and right ileocolonic conduit failed in the patient.
- The salvage antiperistaltic left colon conduit was successfully used as an alternative.
- This approach may be viable in cases with a hostile mediastinum.

## Abstract

Corrosive ingestion is a serious condition that can result in multiple esophageal strictures, often necessitating complex surgical reconstruction when endoscopic management fails. Colonic interposition is an established option for esophageal replacement, but conduit necrosis remains a potentially fatal complication. We present details of a rare salvage antiperistaltic left colon conduit for a patient with corrosive esophageal stricture, who failed endoscopic dilatation and a right ileocolonic conduit.