Introduction

Patients submitted to total esophagectomy and gastrectomy with complete closure of pharinx due to necrosis after caustic ingestion are a challenging surgical setting for reconstruction of upper digestive transit.

Objective

The objective of this paper is to present a clinical case and surgical technique for reconstruction of the upper digestive tract after total esophagectomy and gastrectomy.

Method

Reconstruction of digestive transit was reestablished by means of a pharyngo-ileo-colonic interposition with microsurgical arterial and venous anastomosis for augmentation of blood supply.

Results

There were not major postoperative complications and at long term follow-up, normal oral nutrition and quality of life improvement was observed.

Conclusion

This is a surgical procedure for treatment of patients with pharyngeal strictures without any possibility to indicate other less complex procedures.

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