- 【Updated on May 12, 2025】 Integration of CiNii Dissertations and CiNii Books into CiNii Research
- Trial version of CiNii Research Automatic Translation feature is available on CiNii Labs
- Suspension and deletion of data provided by Nikkei BP
- Regarding the recording of “Research Data” and “Evidence Data”
Efficacy of Seprafilm^[○!R] Adhesion Barrier in Multistaged Extrathoracic Esophageal Elongation Procedure for a Case of Type A Esophageal Atresia
-
- Yokoi Akiko
- Department of Pediatric Surgery, Kobe Children's Hospital
-
- Nishijima Eiji
- Department of Pediatric Surgery, Kobe Children's Hospital
Bibliographic Information
- Other Title
-
- 胸壁内食道延長術時に癒着防止吸収性バリア(セプラフィルム^[○!R])が有用であったA型食道閉鎖症の1例
- 症例報告 胸壁内食道延長術時に癒着防止吸収性バリア(セプラフィルム)が有用であったA型食道閉鎖症の1例
- ショウレイ ホウコク キョウヘキ ナイ ショクドウ エンチョウジュツジ ニ ユチャク ボウシ キュウシュウセイ バリア セプラ フィルム ガ ユウヨウ デ アッタ Aガタ ショクドウ ヘイサショウ ノ 1レイ
Search this article
Description
The multistaged extrathoracic esophageal elongation procedure is useful for preserving the native esophagus in long-gap esophageal atresia. However, this technique requires repeated meticulous dissection of the proximal esophagus to prevent injury to the esophageal wall and cervical nerves and vessels. Herein we report a case of type A esophageal atresia using Seprafilm adhesion barrier in a multistaged extrathoracic elongation procedure. A female baby was born at 36 weeks' gestation weighing 2,612g. A gastrostomy was performed at the age of 2 days on the diagnosis of esophageal atresia without tracheoesophageal fistula. At the age of 2 months, the cervical esophagostomy was fashioned while placing Seprafilm around the cervical esophagus as well as subsequent elongation procedures, starting "sham-feeding". Initial elongation was performed at the age of 5 months with 2.5cm elongation. Further elongation was performed at the age of 9 months and 14 months with 1.5cm and 1.8cm elongation respectively. The proximal esophagus was covered with a Penrose drain to pass through the subcutaneous tunnel to avoid infection. The adhesion around the cervical esophagus was sparse; thus it was not necessary to incise the previous scar to dissect the proximal esophagus extended to the level of the cricoid cartilage in both elongation procedures and the definitive operation, which was performed at the age of 18 months with tension-free end-to-end anastomosis.
Journal
-
- Journal of the Japanese Society of Pediatric Surgeons
-
Journal of the Japanese Society of Pediatric Surgeons 47 (3), 341-344, 2011
The Japanese Society of Pediatric Surgeons
- Tweet
Details 詳細情報について
-
- CRID
- 1390282679803159936
-
- NII Article ID
- 110008673251
-
- NII Book ID
- AN00192281
-
- ISSN
- 21874247
- 0288609X
-
- NDL BIB ID
- 11150834
-
- Text Lang
- ja
-
- Data Source
-
- JaLC
- NDL Search
- CiNii Articles
-
- Abstract License Flag
- Disallowed