Experience of Esophageal Reconstruction With Pedicled Jejunal Graft in Children With Esophageal Stenosis due to Corrosive Esophagitis: A Case Report

  • Suzuki Makoto
    Department of Pediatric Surgery, Koshigaya Hospital, Dokkyo Medical University
  • Aoki Mariko
    Department of Pediatric Surgery, Koshigaya Hospital, Dokkyo Medical University
  • Igarashi Akihiro
    Department of Pediatric Surgery, Koshigaya Hospital, Dokkyo Medical University
  • Hatanaka Masahiro
    Department of Pediatric Surgery, Koshigaya Hospital, Dokkyo Medical University
  • Fujino Junko
    Department of Pediatric Surgery, Koshigaya Hospital, Dokkyo Medical University
  • Tahara Kazunori
    Department of Pediatric Surgery, Koshigaya Hospital, Dokkyo Medical University
  • Ishimaru Yuki
    Department of Pediatric Surgery, Koshigaya Hospital, Dokkyo Medical University
  • Kuroiwa Minoru
    Department of Pediatric Surgery, Toho University Omori Medical Center
  • Suzuki Norio
    Department of Surgery, Gunma Children Medical Center
  • Ikeda Hitoshi
    Department of Pediatric Surgery, Koshigaya Hospital, Dokkyo Medical University

Bibliographic Information

Other Title
  • 腐食性食道炎による瘢痕性食道狭窄に対する有茎空腸間置食道再建術の経験
  • フショクセイ ショクドウエン ニ ヨル ハンコンセイ ショクドウ キョウサク ニ タイスル ユウケイ クウ チョウ カンチショクドウ サイケンジュツ ノ ケイケン

Search this article

Abstract

We report two children (4 y and 1 y-6 m old boys) with esophageal stenosis due to corrosive esophagitis in whom orthotopic jejunal pedicled graft reconstructions of the esophagus had been carried out. Conservative treatments with balloon dilatation had no effect and esophageal replacement was done 6 and 11 months after the injury, respectively. Postoperative anastomotic strictures in both patients were successfully dilated with balloon dilatation, and both patients recovered to the normal diet 3 and 5 months after reconstruction, respectively.<br>Although esophageal reconstruction with a pedicled jejunal graft is a good and ideal operation for replacement of the esophagus, certain considerations (anastomotic site, gaining enough length with a sufficiently long vascular pedicle, and postoperative treatment of anastomotic strictures) are needed to make it successful.

Journal

References(31)*help

See more

Details 詳細情報について

Report a problem

Back to top