Reconstruction of esophageal stenosis that had persisted for 40 years using a free jejunal patch graft with virtual endoscopy assistance

In this report, we present a case in which good results were achieved by treatment using a free jejunal patch graft with virtual endoscopy (VE) assistance in a patient whose swallowing had failed to improve for 40 years after he mistakenly swallowed sulfuric acid, despite pectoralis major myocutaneo...

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Main Authors: Daisuke Fujisawa, Hirotaka Asato, Katsunori Tanaka, Tetsuo Itokazu, Shizuo Kojya
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2020-03-01
Series:Archives of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2019.00101
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author Daisuke Fujisawa
Hirotaka Asato
Katsunori Tanaka
Tetsuo Itokazu
Shizuo Kojya
author_facet Daisuke Fujisawa
Hirotaka Asato
Katsunori Tanaka
Tetsuo Itokazu
Shizuo Kojya
author_sort Daisuke Fujisawa
collection DOAJ
description In this report, we present a case in which good results were achieved by treatment using a free jejunal patch graft with virtual endoscopy (VE) assistance in a patient whose swallowing had failed to improve for 40 years after he mistakenly swallowed sulfuric acid, despite pectoralis major myocutaneous flap grafting and frequent balloon dilatation surgery. During the last 20 years, virtual computed tomography imaging has improved remarkably and continues to be used to address new challenges. For reconstructive surgeons, the greatest advantage of VE is that it is a noninvasive modality capable of visualizing areas inaccessible to a flexible endoscope. Using VE findings, we were able to visualize the 3-dimensional shape beyond the stenosis. VE can also help predict the area of the defect after contracture release.
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spelling doaj.art-5912ee09203a4ab1a7ebee3818977ee92022-12-22T04:02:13ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712020-03-01470217818110.5999/aps.2019.001013627Reconstruction of esophageal stenosis that had persisted for 40 years using a free jejunal patch graft with virtual endoscopy assistanceDaisuke Fujisawa0Hirotaka Asato1Katsunori Tanaka2Tetsuo Itokazu3Shizuo Kojya4Department of Plastic and Reconstructive Surgery, Dokkyo Medical University, Tochigi, JapanDepartment of Plastic and Reconstructive Surgery, Dokkyo Medical University, Tochigi, JapanDepartment of Otorhinolaryngology, Head and Neck Surgery, Nakagami Hospital, Okinawa, JapanDepartment of Otorhinolaryngology, Head and Neck Surgery, Nakagami Hospital, Okinawa, JapanDepartment of Otorhinolaryngology, Head and Neck Surgery, Nakagami Hospital, Okinawa, JapanIn this report, we present a case in which good results were achieved by treatment using a free jejunal patch graft with virtual endoscopy (VE) assistance in a patient whose swallowing had failed to improve for 40 years after he mistakenly swallowed sulfuric acid, despite pectoralis major myocutaneous flap grafting and frequent balloon dilatation surgery. During the last 20 years, virtual computed tomography imaging has improved remarkably and continues to be used to address new challenges. For reconstructive surgeons, the greatest advantage of VE is that it is a noninvasive modality capable of visualizing areas inaccessible to a flexible endoscope. Using VE findings, we were able to visualize the 3-dimensional shape beyond the stenosis. VE can also help predict the area of the defect after contracture release.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2019.00101virtual endoscopyesophageal stenosisburn, chemicaljejunal transfer
spellingShingle Daisuke Fujisawa
Hirotaka Asato
Katsunori Tanaka
Tetsuo Itokazu
Shizuo Kojya
Reconstruction of esophageal stenosis that had persisted for 40 years using a free jejunal patch graft with virtual endoscopy assistance
Archives of Plastic Surgery
virtual endoscopy
esophageal stenosis
burn, chemical
jejunal transfer
title Reconstruction of esophageal stenosis that had persisted for 40 years using a free jejunal patch graft with virtual endoscopy assistance
title_full Reconstruction of esophageal stenosis that had persisted for 40 years using a free jejunal patch graft with virtual endoscopy assistance
title_fullStr Reconstruction of esophageal stenosis that had persisted for 40 years using a free jejunal patch graft with virtual endoscopy assistance
title_full_unstemmed Reconstruction of esophageal stenosis that had persisted for 40 years using a free jejunal patch graft with virtual endoscopy assistance
title_short Reconstruction of esophageal stenosis that had persisted for 40 years using a free jejunal patch graft with virtual endoscopy assistance
title_sort reconstruction of esophageal stenosis that had persisted for 40 years using a free jejunal patch graft with virtual endoscopy assistance
topic virtual endoscopy
esophageal stenosis
burn, chemical
jejunal transfer
url http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2019.00101
work_keys_str_mv AT daisukefujisawa reconstructionofesophagealstenosisthathadpersistedfor40yearsusingafreejejunalpatchgraftwithvirtualendoscopyassistance
AT hirotakaasato reconstructionofesophagealstenosisthathadpersistedfor40yearsusingafreejejunalpatchgraftwithvirtualendoscopyassistance
AT katsunoritanaka reconstructionofesophagealstenosisthathadpersistedfor40yearsusingafreejejunalpatchgraftwithvirtualendoscopyassistance
AT tetsuoitokazu reconstructionofesophagealstenosisthathadpersistedfor40yearsusingafreejejunalpatchgraftwithvirtualendoscopyassistance
AT shizuokojya reconstructionofesophagealstenosisthathadpersistedfor40yearsusingafreejejunalpatchgraftwithvirtualendoscopyassistance