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The success of Eso-SPONGE® therapy in the treatment of anastomotic dehiscence after Ivor-Lewis subtotal esophagectomy: A case report.
Int J Surg Case Rep
November 2021
Thoracic Surgery Unit, Dipartment of Diagnostic and Specialty Medicine - DIMES of the Alma Mater Studiorum, University of Bologna, G.B. Morgagni - L. Pierantoni Hospital, 34 Carlo Forlanini Street, 47121 Forlì, Italy. Electronic address:
Article Synopsis
- Eso-SPONGE® is an effective treatment for persistent leaks at the esophagogastric connection after subtotal esophagectomy, particularly useful in high-risk patients.
- A case study of a 72-year-old man with esophageal adenocarcinoma demonstrated that the therapy significantly reduced inflammation and promoted healing after several sessions.
- The therapy is easy to administer in specialized centers, making it a valuable option for managing esophageal complications post-surgery.
Aim: The aim of this study was estimation of clinical value of gastric tube esophagoplasty in children based on one single center experience.
Methods: Forty-nine patients with diagnosis of EA (n=22) and caustic esophageal injury (n=27) had undergone reverse gastric tube esophagoplasty during 25 years at our institution. Almost all EA patients received initially gastrostomy and cervical esophagostomy.
Patch esophagoplasty with a free proximal lateral leg flap for focal stricture of the cervical esophagus: A case report.
Microsurgery
July 2017
Division of Plastic and Reconstructive Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Article Synopsis
- Esophageal strictures post-surgery or trauma can lead to significant health issues, including poor nutrition and weight loss, particularly after treatments for conditions like cancer.
- In a reported case, a 62-year-old man who had developed dysphagia after cancer treatment underwent patch esophagoplasty using a free proximal lateral leg flap to repair a 3-cm segment stricture in the cervical esophagus.
- The surgery involved resecting the fibrotic tissue, with no malignancy found, and the patient's recovery was smooth, leading to satisfactory functional outcomes at a 6-month follow-up.
Aggressive bougie dilatation and intralesional steroids is effective in refractory benign esophageal strictures secondary to corrosive ingestion.
Dis Esophagus
November 2016
Department of Statistics, University of Rajasthan, Jaipur, India.
Endoscopic dilatation of corrosive esophageal strictures is effective, but some patients are refractory to it and require long-term repeated dilatations. The present study was carried out to analyze whether rigorous schedule of endoscopic bougie dilatation along with intralesional injection of triamcinolone in patients refractory to endoscopic dilatation alone could decrease the number and frequency of endoscopic dilatations. The inclusion criterion for this prospective study was patients with refractory corrosive esophageal stricture of any age group.
View Article and Find Full Text PDFTertiary surgery for complicated repair of esophageal atresia.
Eur J Pediatr Surg
February 2015
Department of Pediatric Surgery, Hospital Universitario La Paz, Madrid, Spain.
Aim: The ideal repair of esophageal atresia (EA) is primary anastomosis with closure of the fistula if present. Long gap or local circumstances prompt other procedures that occasionally lead to disastrous complications. The aim of this study was to analyze the management of these complications in a tertiary referral center.
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