Although the short-term results of colon interposition for replacement of t
he oesophagus in part or as a whole are known to be satisfactory, there hav
e been several reports of functional problems associated with total replace
ment in the long-term follow-up of patients. We have retrospectively studie
d patients who have required revisional surgery for anatomical and function
al sequelae over a 7- to 38-year period, Although the short-segment colon i
nterpositions have been relatively trouble free, several mechanical and fun
ctional problems requiring revisional surgery have been encountered in the
long-term follow-up of patients who underwent long-segment colon interposit
ion.