Document Detail


Congenital esophageal stenosis because of tracheobronchial remnant and treated by circular myectomy: a case report.
MedLine Citation:
PMID:  18358309     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Congenital esophageal stenosis (CES) is a rare anomaly, and appropriate management is not well established. We performed myectomy of the esophageal wall in a child with critical esophageal stenosis caused by tracheobronchial remnant (TBR). An 18-month-old boy was admitted to our hospital having frequent vomiting and failure to thrive. Esophagography and esophagoscopy showed abrupt stenosis at the lower esophageal wall. Balloon dilatation was performed but was ineffective. Surgery was performed under a diagnosis of CES because of TBR. Cartilage was palpable in the stenotic esophageal wall, and extirpation of the muscular layer of the stenotic portion was performed, leaving the mucosal layer intact. The muscular layer was closed loosely using interrupted 5-0 absorbable sutures to match the oral and anal sides together. Postoperatively, the esophageal passage was improved to the point that the patient was able to take solid foods without vomiting. This successful outcome suggests that circular myectomy of the TBR is worth recommending as a surgical procedure for short segment and stenosis of patients with CES because of TBR.
Authors:
Takahiro Saito; Kazuya Ise; Yoshinori Kawahara; Michitoshi Yamashita; Hirofumi Shimizu; Hiroyuki Suzuki; Mitsukazu Gotoh
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  43     ISSN:  1531-5037     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-03-24     Completed Date:  2008-05-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  583-5     Citation Subset:  IM    
Affiliation:
First Department of Surgery, Fukushima Medical University, Fukushima-Shi, Fukushima 960-1295, Japan.
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MeSH Terms
Descriptor/Qualifier:
Balloon Dilatation
Biopsy, Needle
Bronchi / abnormalities
Digestive System Abnormalities / radiography,  surgery
Digestive System Surgical Procedures / methods*
Esophageal Stenosis / congenital*,  pathology,  radiography,  surgery*
Follow-Up Studies
Humans
Immunohistochemistry
Infant
Male
Risk Assessment
Severity of Illness Index
Trachea / abnormalities
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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