التفاصيل البيبلوغرافية
| العنوان: |
Refractory esophageal anastomotic stricture after esophageal atresia surgery improved with retrograde balloon dilatation through gastrostomy followed by laparoscopic fundoplication: a case report. |
| المؤلفون: |
Nakagawa, Yoichi, Uchida, Hiroo, Hinoki, Akinari, Shirota, Chiyoe, Sumida, Wataru, Makita, Satoshi, Yokota, Kazuki, Amano, Hizuru, Yasui, Akihiro, Kato, Daiki, Gohda, Yousuke, Maeda, Takuya |
| المصدر: |
Surgical Case Reports; 9/22/2023, Vol. 9 Issue 1, p1-6, 6p |
| مصطلحات موضوعية: |
FUNDOPLICATION, GASTROSTOMY, ESOPHAGEAL atresia, GASTROESOPHAGEAL reflux, OPERATIVE surgery, SURGERY, LAPAROSCOPIC surgery |
| مستخلص: |
Background: An esophageal anastomotic stricture (EAS) after an esophageal atresia surgery occurs in approximately 4–60% of the cases, and its first-line therapy includes balloon dilatation. Oral balloon dilatation cannot be performed in some EAS cases; conversely, even if dilatation is possible, these strictures recur in some cases, necessitating a surgical procedure for repairing the stenosis. However, these procedures are invasive and have short- and long-term complications. If an EAS recurs repeatedly after multiple balloon dilations, gastroesophageal reflux disease (GERD) may be the underlying cause. A fundoplication procedure may be effective for treating a refractory EAS, as in the present case. Case presentation: A neonatal patient with type D esophageal atresia underwent thoracoscopic esophago-esophageal anastomosis at the age of 1 day, and her postoperative course was uneventful. Thereafter, the patient underwent gastrostomy for poor oral intake at the age of 3 months. After gastrostomy, the patient presented with a complete obstructive EAS. Balloon dilatation via the oral route was attempted; however, a guidewire could not be inserted into the EAS site. Hence, retrograde balloon dilatation via gastrostomy was performed successfully. However, the EAS recurred easily thereafter, and laparoscopic anti-reflux surgery was performed to prevent GERD. The anti-reflux surgery cured the otherwise refractory EAS and prevented its recurrence. Conclusions: Retrograde balloon dilatation is another treatment option for an EAS. When an EAS recurs soon after dilatation, the patient must be evaluated for GERD; if severe GERD is observed, an appropriate anti-reflux surgery is required before dilating the EAS. [ABSTRACT FROM AUTHOR] |
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