Esophageal duplication cysts and closure of the muscle layer

Benedict, Leo Andrew; Bairdain, Sigrid; Paulus, Jessica K.; Jackson, Carl-Christian; Chen, Catherine; Kelleher, Cassandra M.

doi:10.1016/j.jss.2016.07.024

Cited by 13 publications

(13 citation statements)

References 7 publications

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“…7 They also reported that more serious postoperative complications such as cyst recurrence, diverticula, strictures, and chylothorax occurred in patients whose muscle layer was left open. 7 However, a few patients who underwent muscle layer closure developed postoperative GERD despite the absence of preoperative GERD symptoms. Closure of the muscle layer after resection may potentially increase the likelihood of developing GERD, but other possible causes include alteration of the lower esophageal sphincter anatomy or injury to the vagus nerve.…”

Section: Discussionmentioning

confidence: 99%

“…The optimal technique for closure of the esophageal muscle layer after EDC resection remains controversial. Benedict et al reported that fewer complications occurred in patients who underwent muscle layer closure during the initial resection and that most patients who required reoperation had their muscle layer left open . They also reported that more serious postoperative complications such as cyst recurrence, diverticula, strictures, and chylothorax occurred in patients whose muscle layer was left open .…”

Section: Discussionmentioning

confidence: 99%

“…Benedict et al reported that fewer complications occurred in patients who underwent muscle layer closure during the initial resection and that most patients who required reoperation had their muscle layer left open . They also reported that more serious postoperative complications such as cyst recurrence, diverticula, strictures, and chylothorax occurred in patients whose muscle layer was left open . However, a few patients who underwent muscle layer closure developed postoperative GERD despite the absence of preoperative GERD symptoms.…”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic surgery for an esophageal duplication cyst using a near‐infrared indocyanine green fluorescence system: A case report

Mori

Shuto

Hirano

et al. 2019

Asian J Endoscop Surgery

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We herein describe a case of laparoscopic surgery for an esophageal duplication cyst using a near‐infrared indocyanine green fluorescence system. A 64‐year‐old woman with a cystic tumor adjacent to the esophagogastric junction was referred to our hospital for treatment. Esophagogastroduodenoscopy and abdominal CT revealed a 70‐mm submucosal tumor derived from the abdominal esophagus. We performed laparoscopic resection and then evaluated the tissue perfusion of the abdominal esophagus by using a near‐infrared indocyanine green fluorescence system. A Dor fundoplication was performed to prevent postoperative gastroesophageal reflux disease and reinforce the mucosal layer defect. The postoperative course was uneventful, and pathological evaluation confirmed that the tumor was an esophageal duplication cyst. The patient did not develop recurrence in the 24 months after surgery. We have demonstrated that laparoscopic resection of an esophageal duplication cyst may be performed effectively with intraoperative assessment of tissue perfusion using a near‐infrared indocyanine green fluorescence system.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Laparoscopic surgery for an esophageal duplication cyst using a near‐infrared indocyanine green fluorescence system: A case report

Mori

Shuto

Hirano

et al. 2019

Asian J Endoscop Surgery

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show abstract

“…Closure may help to prevent a postoperative diverticulum, but this needs to be balanced with the risk of creating an esophageal stricture. Given the risk of creating an esophageal stricture, many surgeons do not close this defect . Given the large defect in our patient, we decided to allow it to heal secondarily in order to avoid fluid collecting in the cavity, which may lead to an infection.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Removal of a Cervical Esophageal Duplication Cyst

et al. 2019

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A 6‐month‐old female presented for 2 months of noisy breathing. Flexible laryngoscopy showed limited bilateral vocal fold abduction. Computed tomography revealed a non‐enhancing 3.6 × 2.3 × 3.5 cystic prevertebral mass spanning C2‐T. Using an endoscopic approach, the overlying mucosa was incised, and the cyst was freed and fully excised from the surrounding mucosa with blunt microlaryngeal instruments without complication. Three months postoperatively she had no respiratory issues and was eating well. Flexible laryngoscopy revealed bilateral vocal fold mobility. We propose that endoscopic removal of a cervical esophageal duplication cyst in selected cases is an alternative to open excision. Laryngoscope, 130:2053–2055, 2020

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“…Diagnosis of EDC is usually established before the age of 2 years when the patient develops symptoms (Watanobe et al 2015 ). Thoracic duct injury and development of chylothorax after excision of the esophageal duplication cyst is rare but known complication (Benedict et al 2016 ; Kapoor et al 2014 ). Here we describe a case of 2 year old child in which filtered Tc99m sulphur colloid lymphoscintigraphy and SPECT-CT helped in the diagnosing and localization of the chylothorax site.…”

Section: Introductionmentioning

confidence: 99%

Role of 99mTc sulphur colloid lymphoscintigraphy in a rare case of chylothorax and lymphocele formation post esophageal duplication cyst excision

Yadav

Taywade

Kumar

et al. 2021

European J Hybrid Imaging

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We report a rare case of chylothorax with lymphocele formation post esophageal duplication cyst (EDC) excision in a 2 year old male child. Patient developed chylothorax after excision of EDC. Pleural fluid cytology showed increased triglycerides and cholesterol levels. Filtered Tc-99m Sulphur colloid lymphoscintigraphy showed abnormal radiotracer uptake in the lower thoracic region on right side corresponding to lymphocele on SPECT-CT images with possible site of leak medially. In addition, Tc-99m pertechnetate scan was done to rule out possibility of residual duplication cyst revealed no abnormality. Patient underwent open and en-masse ligation of the duct. Patient recovered completely post-surgery. This case highlights the importance of lymphoscintigraphy with SPECT-CT in the evaluation of patients with post-operative complications of chylothorax with detection of site of chyle leak.

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Esophageal duplication cysts and closure of the muscle layer

Cited by 13 publications

References 7 publications

Laparoscopic surgery for an esophageal duplication cyst using a near‐infrared indocyanine green fluorescence system: A case report

Laparoscopic surgery for an esophageal duplication cyst using a near‐infrared indocyanine green fluorescence system: A case report

Endoscopic Removal of a Cervical Esophageal Duplication Cyst

Role of 99mTc sulphur colloid lymphoscintigraphy in a rare case of chylothorax and lymphocele formation post esophageal duplication cyst excision

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