Esophageal replacement for benign disease

Esophageal resection is most frequently undertaken for malignancy. Indications for esophagectomy with reconstruction for benign disease include perforation, obstruction, and dysmotility. Considerations for operative planning must include the underlying disorder, localization, and extent of disease, and options for esophageal conduit based on prior surgical anatomical adjustment. We will review the indications and technical approaches to reconstruction in these circumstances, addressing the risks and benefits of each reconstruction option.