Journal Basic Info

  • Impact Factor: 1.995**
  • H-Index: 8
  • ISSN: 2474-1647
  • DOI: 10.25107/2474-1647
**Impact Factor calculated based on Google Scholar Citations. Please contact us for any more details.

Major Scope

  •  Minimally Invasive Surgery
  •  Oral and Maxillofacial Surgery
  •  Otolaryngology - Head and Neck Surgery
  •  Neurological Surgery
  •  Robotic Surgery
  •  Pediatric Surgery
  •  Breast Surgery
  •  Bariatric 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..

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