A Novel Surgical Procedure of Esophageal Replacement

Yuhua Shan and Qimin Chen*

Department of Pediatric Surgery, Shanghai Children?s? Medical Center Affiliated to Shanghai Jiaotong University School of Medicine, China

^*Correspondance to: Qimin Chen 

 PDF  Full Text DOI: 10.25107/2474-1647.2986

Abstract

Esophageal replacement can be the last resort when dilation is not effective in caustic ingestion cases. The jejunum, despite having many merits, is seldom chosen as a graft because it can increase the complexity of the surgery. This study aimed to propose a novel procedure of free jejunal transplantation using the internal mammary artery. A 13-year old boy developed progressive severe dysphagia caused by a caustic-induced long esophageal stricture 4 months after ingesting sulfuric acid. Dilation resulted in perforation; therefore, he had to resort to esophageal replacement. The free jejunum interposition was anatomized to the esophageal residues in orthotropic side to side way; the mesenteric vessels were anastmosed to internal mammary artery and zygote vein. The boy recovers in 2 weeks without presentation of stricture or reflux in the 6-month later follow-up. We conclude that the new technique is a potential way for long segment esophageal replacement.

Keywords

Free jejunum interposition; Internal mammary artery; Caustic esophageal stricture

Cite the article

Shan Y, Chen Q. A Novel Surgical Procedure of Esophageal Replacement. Clin Surg. 2020; 5: 2986..