Abstract
Benign esophageal strictures are generally treated with medication and balloon dilation; however, when repeated dilations fail, surgery is the only option. When performing surgery for benign esophageal stricture in young patients, it is important to consider not only the surgical stress and likelihood of complications but also digestive function after reconstruction, the durability of the reconstruction, and the potential for cancerous change in the reconstructed organs. We describe how we treated a 14-year-old boy with benign esophageal stricture by performing transhiatal esophagectomy assisted by mediastinoscopy, preserving the whole stomach and vagus nerve, and interposing pedicled jejunum between the cervical esophagus and stomach through a posterior mediastinal route, with good long-term results.
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References
Marks RD, Richter JE. Peptic strictures of the esophagus. Am J Gastroenterol 1993;88:1160.
Ferguson DD. Evaluation and management of benign esophageal strictures. Dig Dis 2005;18:359–364.
Spechler SJ. Esophageal complications of gastroesophageal refl ux disease: presentation, diagnosis, management, and outcomes. Clin Cornerstone 2003;5:41–48.
Siersema PD. Treatment options for esophageal strictures. Nat Clin Pract Gastroenterol Hepatol 2008;5:142–152.
Knezević JD, Radovanović NS, Simić AP, Kotarac MM, Skrobić OM, Konstantinović VD, et al. Colon interposition in the treatment of esophageal caustic strictures: 40 years of experience. Dis Esophagus 2007;20:530–534.
Matsumoto N, Oki E, Morita M, Kakeji Y, Egashira A, Sadanaga N, et al. Successful treatment of acute esophageal necrosis caused by intrathoracic gastric volvulus: report of a case. Surg Today 2009;39:1068–1072.
Chirica M, Veyrie N, Munoz-Bongrand N, Zohar S, Halimi B, Celerier M, et al. Late morbidity after colon interposition for corrosive esophageal injury: risk factors, management, and outcome. A 20-year experience. Ann Surg 2010;252:271–280.
Coopman S, Michaud L, Halna-Tamine M, Bonnevalle M, Bourgois B, Turck D, et al. Long-term outcome of colon interposition after esophagectomy in children. J Pediatr Gastroenterol Nutr 2008;47:458–462.
Ring WS, Varco RL, L’Heureux PR, Foker JE. Esophageal replacement with jejunum in children: an 18 to 33 year follow-up. J Thorac Cardiovasc Surg 1982;83:918–927.
Wright C, Cuschieri A. Jejunal interposition for benign esophageal disease. Technical considerations and long-term results. Ann Surg 1987;205:54–60.
Moreno-Osset E, Tomas-Ridocci M, Paris F, Mora F, Garcia-Zarza A, Molina R, et al. Motor activity of esophageal substitute (stomach, jejunal, and colon segments). Ann Thorac Surg 1986; 41:515–519.
Altintas E, Kacar S, Tunc B, Sezgin O, Parlak E, Altiparmak E, et al. Intralesional steroid injection in benign esophageal strictures resistant to bougie dilation. J Gastroenterol Hepatol 2004;19: 1388–1391.
Zhang C, Yu JM, Fan GP, Shi CR, Yu SY, Wang HP, et al. The use of a retrievable self-expanding stent in treating childhood benign esophageal strictures. J Pediatr Surg 2005;40:501–504.
Uhlen S, Fayoux P, Vachin F, Guimber D, Gottrand F, Turck D, et al. Mitomycin C: an alternative conservative treatment for refractory esophageal stricture in children? Endoscopy 2006;38:404–407.
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Motoyama, S., Saito, R., Morii, M. et al. Transhiatal jejunal interposition preserving the whole stomach and vagal trunk for a benign esophageal stricture in a male adolescent: Report of a case. Surg Today 41, 1567–1570 (2011). https://doi.org/10.1007/s00595-010-4539-y
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DOI: https://doi.org/10.1007/s00595-010-4539-y