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

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.