The esophago-visceral cervical anastomosis presents complications such as fistula and stenosis that may need surgical reintervention for it's correction. The authors, with the objective of evaluating procedures for surgical approach and the results of these complications, have studied retrospectively 9 patients whom demanded this conduct in a 17-year period. Two fistulas and seven esophago-visceral cervical anastomosis stenosis were performed, being cervicotomy the initial access in all patients. In four cases there was a need to enlarge the access, achieved with a total median sternotomy, which made the reconstruction significantly easier, therefore there was 75% mortality. The tactics adopted were reanastomosis in 5 cases, suture of the fistula's orifice in one case, and plasty in three. Ressuturing obtained bad results. The patients subbmited to plasties evoluted satisfactorily and patients submitted to reanastomosis without total median sternotomy also evoluted satisfactorily. Anastomosis plasty proved to be a good tactic for the treatment of cervical stenosis, while reanastomosis seems to be a better indication for treatment of fistulas, being that total median sternotomy is avoided.
Esophagus; Esophagoplasty; Stenosis; Anastomotic leak
