Browse > Article
http://dx.doi.org/10.5999/aps.2019.00101

Reconstruction of esophageal stenosis that had persisted for 40 years using a free jejunal patch graft with virtual endoscopy assistance  

Fujisawa, Daisuke (Department of Plastic and Reconstructive Surgery, Dokkyo Medical University)
Asato, Hirotaka (Department of Plastic and Reconstructive Surgery, Dokkyo Medical University)
Tanaka, Katsunori (Department of Otorhinolaryngology, Head and Neck Surgery, Nakagami Hospital)
Itokazu, Tetsuo (Department of Otorhinolaryngology, Head and Neck Surgery, Nakagami Hospital)
Kojya, Shizuo (Department of Otorhinolaryngology, Head and Neck Surgery, Nakagami Hospital)
Publication Information
Archives of Plastic Surgery / v.47, no.2, 2020 , pp. 178-181 More about this Journal
Abstract
In this report, we present a case in which good results were achieved by treatment using a free jejunal patch graft with virtual endoscopy (VE) assistance in a patient whose swallowing had failed to improve for 40 years after he mistakenly swallowed sulfuric acid, despite pectoralis major myocutaneous flap grafting and frequent balloon dilatation surgery. During the last 20 years, virtual computed tomography imaging has improved remarkably and continues to be used to address new challenges. For reconstructive surgeons, the greatest advantage of VE is that it is a noninvasive modality capable of visualizing areas inaccessible to a flexible endoscope. Using VE findings, we were able to visualize the 3-dimensional shape beyond the stenosis. VE can also help predict the area of the defect after contracture release.
Keywords
Virtual endoscopy; Esophageal stenosis; Burn, chemical; Jejunal transfer;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Vining DJ, Liu K, Choplin RH, et al. Virtual bronchoscopy. Relationships of virtual reality endobronchial simulations to actual bronchoscopic findings. Chest 1996;109:549-53.   DOI
2 Lam WW, Tam PK, Chan FL, et al. Esophageal atresia and tracheal stenosis: use of three-dimensional CT and virtual bronchoscopy in neonates, infants, and children. AJR Am J Roentgenol 2000;174:1009-12.   DOI
3 Mazzeo S, Caramella D, Gennai A, et al. Multidetector CT and virtual endoscopy in the evaluation of the esophagus. Abdom Imaging 2004;29:2-8.   DOI
4 Panebianco V, Grazhdani H, Iafrate F, et al. 3D CT protocol in the assessment of the esophageal neoplastic lesions: can it improve TNM staging? Eur Radiol 2006;16:414-21.   DOI
5 Seidenberg B, Rosenak SS, Hurwitt ES, et al. Immediate reconstruction of the cervical esophagus by a revascularized isolated jejunal segment. Ann Surg 1959;149:162-71.   DOI
6 Buckspan GS, Newton ED, Franklin JD, et al. Split jejunal free-tissue transfer in oropharyngoesophageal reconstruction. Plast Reconstr Surg 1986;77:717-28.   DOI
7 Nakatsuka T, Harii K, Ueda K, et al. Preservation of the larynx after resection of a carcinoma of the posterior wall of the hypopharynx: versatility of a free flap patch graft. Head Neck 1997;19:137-42.   DOI
8 Okazaki M, Asato H, Sarukawa S, et al. Ninety-degree transposed free jejunal patch transfer for hypopharyngeal reconstruction following partial hypopharyngectomy. Plast Reconstr Surg 2008;122:143e-144e.   DOI
9 Lahoti D, Broor SL, Basu PP, et al. Corrosive esophageal strictures: predictors of response to endoscopic dilation. Gastrointest Endosc 1995;41:196-200.   DOI
10 Ryu HH, Jeung KW, Lee BK, et al. Caustic injury: can CT grading system enable prediction of esophageal stricture? Clin Toxicol 2010;48:137-42.   DOI
11 Mowry JB, Spyker DA, Cantilena LR Jr, et al. 2013 Annual Report of the American Association of Poison Control Centers' National Poison Data System (NPDS): 31st Annual Report. Clin Toxicol 2014;52:1032-283.   DOI
12 Kim YT, Sung SW, Kim JH. Is it necessary to resect the diseased esophagus in performing reconstruction for corrosive esophageal stricture? Eur J Cardiothorac Surg 2001;20:1-6.   DOI
13 Das KM, Lababidi H, Al Dandan S, et al. Computed tomography virtual bronchoscopy: normal variants, pitfalls, and spectrum of common and rare pathology. Can Assoc Radiol J 2015;66:58-70.   DOI
14 De Wever W, Vandecaveye V, Lanciotti S, et al. Multidetector CT-generated virtual bronchoscopy: an illustrated review of the potential clinical indications. Eur Respir J 2004;23:776-82.   DOI
15 Miyamoto S, Sakuraba M, Asano T, et al. Free jejunal patch graft for reconstruction after partial hypopharyngectomy with laryngeal preservation. Arch Otolaryngol Head Neck Surg 2011;137:181-6.   DOI