Indocyanine green fluorescence imaging for subtotal esophagectomy due to esophageal stenosis after acute esophageal necrosis: a report of two cases

Imaoka, Kouki; Harano, Masao; Oshita, Ko; Yano, Takuya; Yoshimitsu, Masanori; Nakano, K.; Idan, Hitoshi; Shiozaki, Shigehiro; Okajima, Masazumi

doi:10.1007/s12328-020-01326-x

Cited by 3 publications

(5 citation statements)

References 24 publications

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“…For AEN, it is primarily case reports that have been published so far. To our knowledge, this is the third case report worldwide on the use of ICGA in emergency surgical treatment of AEN [11].…”

Section: Discussionmentioning

confidence: 86%

Use of Indocyanine Green Fluorescence Angiography and Prophylactic Endoscopic Stenting in Esophagectomy for Acute Esophageal Necrosis

et al. 2022

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Section: Discussionmentioning

confidence: 86%

Use of Indocyanine Green Fluorescence Angiography and Prophylactic Endoscopic Stenting in Esophagectomy for Acute Esophageal Necrosis

et al. 2022

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“…Most cases of benign esophageal stenosis are treated by EBD, and surgery has been used for cases that fail to respond to EBD. Table 1 summarizes the data of eight cases, including our own, of surgical treatment for chronic esophageal stenosis developing after AEN 6–9 . Surgery was performed for esophageal stenosis between 5 and 24 months after the onset of AEN.…”

Section: Discussionmentioning

confidence: 99%

“…Table 1 summarizes the data of eight cases, including our own, of surgical treatment for chronic esophageal stenosis developing after AEN. [6][7][8][9] Surgery was performed for esophageal stenosis between 5 and 24 months after the onset of AEN. While there is no certain opinion on the optimal timing of surgery, it is considered necessary at least 6 months after the acute phase, given the severe fibrosis.…”

Section: Discussionmentioning

confidence: 99%

Thoracoscopic esophagectomy for stenosis of thoracic esophagus due to acute esophageal necrosis associated with alcoholic ketoacidosis

Kanamori

Koyanagi

Nakamura

et al. 2023

Asian J Endoscop Surgery

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Acute esophageal necrosis (AEN) is a rare disease characterized by the appearance of diffuse black mucosa on upper gastrointestinal endoscopy; the condition often progresses to esophageal stenosis in the chronic phase. A 70-year-old man was admitted to a neighborhood hospital with the diagnosis of alcoholic ketoacidosis and an upper gastrointestinal endoscopy performed to investigate the symptom of esophageal tightness revealed AEN.The patient developed esophageal stenosis with scarring in the chronic phase and was referred to our hospital for surgery 6 months after the diagnosis of AEN. We performed thoracoscopic esophagectomy with the patient in the prone position. Although the esophagus was thickened and strong adhesions were present around the esophagus due to inflammation, we were able to complete the surgical procedure thoracoscopically. In patients presenting with benign esophageal stenosis developing after AEN, thoracoscopic esophagectomy may be a useful treatment option, even in the presence of severe fibrosis.

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“…After mobilization of the affected segment of the esophagus, ICG was used to determine the proximal resection margin. Both patients did well with no post-operative leaks ( 94 ).…”

Section: Colon Surgerymentioning

confidence: 93%

“…However, ICG angiography is initially useful in assessing gonadal perfusion after detorsion and can potentially affect the operative decision. A summary of pertaining literature on perfusion assessment using ICG is provided in Table 2 ( 35 , 56 , 80 – 92 , 94 , 95 , 97 , 100 , 101 , 103 – 115 ).…”

Section: Less Common Uses Of Icgmentioning

confidence: 99%

Utility of indocyanine green fluorescent dye in emergency general surgery: a review of the contemporary literature

Khalaf,

Abdelrahman,

El-Menyar

et al. 2024

Front. Surg.

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For decades, indocyanine green (ICG) has been available for medical and surgical use. The indications for ICG use in surgery have expanded where guided surgery directed by fluorescence and near-infrared fluorescent imaging offers numerous advantages. Recently, surgeons have reported using ICG operative navigation in the emergency setting, with fluorescent cholangiography being the most common procedure. The utility of ICG also involves real-time perfusion assessment, such as ischemic organs and limbs. The rising use of ICG in surgery can be explained by the ICG's rapid technological evolution, accuracy, ease of use, and great potential to guide precision surgical diagnosis and management. The review aims to summarize the current literature on the uses of ICG in emergency general surgery. It provides a comprehensive and practical summary of the use of ICG, including indication, route of administration, and dosages. To simplify the application of ICG, we subdivided its use into anatomical mapping and perfusion assessment. Anatomical mapping includes the biliary tree, ureters, and bowel. Perfusion assessment includes bowel, pancreas, skin and soft tissue, and gonads. This review provides a reference to emergency general surgeons to aid in implementing ICG in the emergency setting for more enhanced and safer patient care.

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Indocyanine green fluorescence imaging for subtotal esophagectomy due to esophageal stenosis after acute esophageal necrosis: a report of two cases

Cited by 3 publications

References 24 publications

Use of Indocyanine Green Fluorescence Angiography and Prophylactic Endoscopic Stenting in Esophagectomy for Acute Esophageal Necrosis

Use of Indocyanine Green Fluorescence Angiography and Prophylactic Endoscopic Stenting in Esophagectomy for Acute Esophageal Necrosis

Thoracoscopic esophagectomy for stenosis of thoracic esophagus due to acute esophageal necrosis associated with alcoholic ketoacidosis

Utility of indocyanine green fluorescent dye in emergency general surgery: a review of the contemporary literature

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