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After free tissue transfer, the recipient bed plays an important role in the neovascularization process by maintaining flap viability independent of its primary vascular pedicle.1 However, there is still some controversy of how long the patency of the primary vascular pedicle must be maintained to ensure free flap survival.2 Factors such as the type of flap, prior radiation, and active recipient site infection have shown to delay this neovascularization process.3,4 We report the case of a 58-year-old woman, with esophageal injury after alkali ingestion that was reconstructedwith a free bowel conduit. Following complete assessment, she underwent total esophagectomy and feeding jejunostomy. After

Neovascularization Failure of an Interposed Free Intestinal Colon Flap 10 Years after Esophageal Reconstruction