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[Comment] Novel approach to in-vivo oesophageal regeneration

In The Lancet, Kulwinder Dua and colleagues1 report a novel approach to oesophageal reconstruction with a surprising result. They describe the treatment of a man who had required anterior spinal plating after a car accident. Some years later the plates had become infected, resulting in a large upper oesophageal and pharyngeal defect. Although it was possible to treat the infection and repair some of the pharynx, a 5 cm full-thickness oesophageal defect remained that made eating impossible and had a high risk of mediastinitis, which is potentially fatal.