Journal Basic Info
- Impact Factor: 1.995**
- H-Index: 8
- ISSN: 2474-1647
- DOI: 10.25107/2474-1647
Major Scope
- Emergency Surgery
- Cardiovascular Surgery
- Otolaryngology - Head and Neck Surgery
- Minimally Invasive Surgery
- Oral and Maxillofacial Surgery
- Obstetrics Surgery
- Gastroenterological Surgery
- Endocrine Surgery
Abstract
Citation: Clin Surg. 2020;5(1):2986.Surgical Technique | Open Access
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..
