Blood Supply Visualization Using Indocyanine Green Fluorescence Method for Esophageal Anastomosis in a Case of Congenital Esophageal Stenosis After Esophageal Atresia Repair: A Case Report

DOI HANDLE Web Site Open Access
  • Yoshinaga Shun
    Division of Pediatric Surgery, Department of Surgery, Kobe University Graduate School of Medicine Department of Pediatric Surgery, Kakogawa Central City Hospital
  • Okata Yuichi
    Division of Pediatric Surgery, Department of Surgery, Kobe University Graduate School of Medicine
  • Watanabe Aya
    Division of Pediatric Surgery, Department of Surgery, Kobe University Graduate School of Medicine
  • Yoshimura Shohei
    Division of Pediatric Surgery, Department of Surgery, Kobe University Graduate School of Medicine
  • Uemura Kotaro
    Division of Pediatric Surgery, Department of Surgery, Kobe University Graduate School of Medicine
  • Miyauchi Harunori
    Division of Pediatric Surgery, Department of Surgery, Kobe University Graduate School of Medicine Department of Pediatric Surgery, Hyogo Prefectural Kobe Children’s Hospital
  • Nakatani Taichi
    Division of Pediatric Surgery, Department of Surgery, Kobe University Graduate School of Medicine Department of Pediatric Surgery, Hyogo Prefectural Kobe Children’s Hospital
  • Tomioka Yuichiro
    Division of Pediatric Surgery, Department of Surgery, Kobe University Graduate School of Medicine
  • Bitoh Yuko
    Division of Pediatric Surgery, Department of Surgery, Kobe University Graduate School of Medicine

Bibliographic Information

Other Title
  • 先天性食道閉鎖症術後の先天性食道狭窄症に対する食道食道吻合術の際にICG蛍光法による吻合部血流評価を行った1例
  • センテンセイ ショクドウ ヘイサショウ ジュツゴ ノ センテンセイ ショクドウ キョウサクショウ ニ タイスル ショクドウ ショクドウ フンゴウジュツ ノ サイ ニ ICG ケイコウホウ ニ ヨル フンゴウブ ケツリュウ ヒョウカ オ オコナッタ 1レイ

Search this article

Abstract

<p>A 15-month-old male patient, who underwent surgery for esophageal atresia (EA) with distal tracheoesophageal fistula at the age of one day, in whom we had difficulty in inserting a post-anastomotic tube, was suspected of having congenital esophageal stenosis (CES) at the lower esophagus. Postoperative feeding and weight gain were satisfactory, but frequent vomiting appeared from about seven months after birth when weaning diet was started, and endoscopic ultrasonography revealed CES associated with a tracheobronchial remnant. At the age of one year and three months, congenital esophageal stricture resection and esophageal anastomosis were performed. Since the CES anastomotic site was found to be highly tense, blood flow was evaluated at the anastomotic site using the indocyanine green (ICG) fluorescence method after the esophageal anastomosis. It was confirmed that the blood flow at the anastomotic site was maintained. Postoperative anastomotic stenosis was observed, but it was improved by endoscopic balloon dilatation. Currently at the age of three years, he eats a normal diet and gaining weight well. We report on the evaluation of blood flow at the anastomotic site using the ICG fluorescence method in CES esophageal anastomosis after EA.</p>

Journal

Keywords

Details 詳細情報について

Report a problem

Back to top