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A 60-year-old man presented to clinic with concerns about the cosmetic results of previous surgery. During childhood he had had an alkali burn of the esophagus that resulted in complete esophageal stenosis. In 1962, when he was 7 years of age, an esophagogastric bypass was performed by means of subcutaneous colonic interposition that involved the creation of a cervical esophagocolostomy and an intraabdominal colojejunostomy. A physical examination at the time of the current presentation revealed the subcutaneous position of the colonic segment on the chest wall as well as a herniation of the proximal jejunum through the epigastric opening of the abdominal fascia created for esophagogastric bypass...
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