A Case of Intractable Esophageal Fistula Repaired by a Patch of the Iliotibial Tract and Pectoralis Major Muscle Prombage
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- YAMAMOTO Yota
- Department of Surgery, Tsurugi Municipal Handa Hospital
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- NIKI Shunsuke
- Department of Surgery, Tsurugi Municipal Handa Hospital
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- FURUKITA Yoshihito
- Department of Thoracic, Endocrine Surgery and Oncology, Tokushima University Hospital
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- TANGOKU Akira
- Department of Thoracic, Endocrine Surgery and Oncology, Tokushima University Hospital
Bibliographic Information
- Other Title
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- 腸脛靱帯による遊離筋膜パッチと大胸筋充填を行った難治性食道瘻の1例
- 症例 腸脛靱帯による遊離筋膜パッチと大胸筋充填を行った難治性食道瘻の1例
- ショウレイ チョウケイジンタイ ニ ヨル ユウリキンマク パッチ ト ダイキョウキン ジュウテン オ オコナッタ ナンチセイ ショクドウロウ ノ 1レイ
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Abstract
The patient was in his seventies who had undergone subtotal esophagectomy and anastomosis of the cervical esophagus and gastric tube for esophageal cancer 12 years previously. Five years later, he suffered from anastomotic stenosis during chemoradiotherapy for cervical node recurrence. Eight months previously, he suffered from intractable esophageal fistula because of anastomotic leakage from re-anastomosis surgery. We performed pectoralis major muscle prombage because we judged that the repair with a free jejunal graft was not acceptable due to his poor general condition. The fistula was repaired by patching the iliotibial tract and pectoralis major muscle prombage. The patient had an uncomplicated postoperative course and changed hospitals on the 38th post-operative day. Pectoralis major muscle prombage for esophageal fistula requires blocking sialic leakage for engraftment of the prombage tissue. Patch repair with a skin flap for the closure of the fistula is a cumbersome procedure and often requires skin grafting. By contrast, patch repair using the iliotibial tract was easy and useful for the closure of the esophageal fistula.
Journal
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- Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 75 (2), 369-373, 2014
Japan Surgical Association
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Details 詳細情報について
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- CRID
- 1390001204850550272
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- NII Article ID
- 130004685329
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- NII Book ID
- AA11189709
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- ISSN
- 18825133
- 13452843
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- NDL BIB ID
- 030744918
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed