Surgery for benign esophageal stricture

Keenan, Daniel; Hamilton, J. R. L.; Gibbons, J.; Stevenson, H. Michael

doi:10.1016/s0022-5223(19)38351-5

Cited by 21 publications

(6 citation statements)

References 21 publications

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“…resection of stricture transgastrically with endoscopy assistance) 43 to the complex (e.g. colonic or jejunal interposition) 44 . The patients who are most likely to require surgical intervention are those with complex and perhaps multiple strictures.…”

Section: Non‐metal Stentsmentioning

confidence: 99%

Evaluation and management of benign esophageal strictures

Ferguson

2005

Diseases of the Esophagus

111

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Patients with progressive or solid food dysphagia should be evaluated for the presence of an esophageal stricture. Barium esophagram and endoscopy can define strictures as benign or malignant. The majority of benign strictures are acid-related. Benign strictures are best managed by esophageal dilation with acid-suppressing medications if a peptic stricture is suspected. If dysphagia recurs, repeat dilation should be performed. There are a variety of interventions for refractory strictures which include injection of intralesional corticosteroids, temporary placement of self-expanding plastic stents and surgery.

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Section: Non‐metal Stentsmentioning

confidence: 99%

Evaluation and management of benign esophageal strictures

Ferguson

2005

Diseases of the Esophagus

111

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“…9 However, comparison of our results to those of other studies that used the midcolon as an esophageal substitute is limited because of differences in patients, in type of surgery or in time period in which the data were generated. [15][16][17][18][19][20]…”

Section: Discussionmentioning

confidence: 99%

Colon interposition in the treatment of corrosive esophageal strictures: 100 patients in seven years

Sharma

Pancholi

2019

Int Surg J

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This is a study of 100 cases of corrosive stricture of esophagus managed with colon interposition within duration of seven years. With improved knowledge after review of literature and experience of more frequent procedures, we changed our technique of surgery with decreased operative time and better understanding of ABSTRACT Background: The purpose of this study is to represent the change in our concept of principles and techniques of esophagocoloplasty (midcolon esophagocoloplasty) with repetitive performance of the operation and approach of early surgical intervention (within 4-6 month of corrosive ingestion) in place of repetitive trials of dilatations and medical management, provides early better quality of life with lesser period of suffering and saving expenditure of treatment. Methods: This retrospective study comprises of consecutive 100 patients operated for colon interposition for corrosive stricture of esophagus done at two university linked government teaching hospitals during March 2011 to March 2018. Out of 100 patients, 77 female and 23 male (3:1), mean age 30.6 years (range from 21 to 47 years), mean hospital stay was 14.5 days (range 10 to 25 days) and mean operative duration was 4.5 hours (range 2.5 to 7 hours). Results: The 30 day in hospital mortality rate was 9%. There were 14 instances of leak at the esophagocolic anastomosis (14%), graft necrosis occurred in 01 patient, 08 patients (8%) developed stenosis at the esophagocolic anastomosis. More than 90% patients (n=77) had 'Good' result, 06 patients had 'Fair' and 02 had 'Poor' result. Conclusions: Midcolon graft is a solution for confusion in judgment of adequate length of graft and offer uniformity in procedure with effectively lesser operative time. Early (4-6 months after ingestion) operative intervention is advantageous to patients suffering from crippling dysphagia with repeated admission and expenditure from multiple endoscopic dilatations.

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“…Since the first report of Katsura in 1958, 26 this procedure had been performed on rare occasions, but later, it was more often in use in Japan (Kasai 1965) as the technique advanced. 3,12,17,23,27 For cervical esophageal replacement, plastic skin and intestinal short-segments including almost all routes of transposition were used. We tried to reinstall technique of short-segment jejunal interposition and add our experience with this report about personal technique of short interposition in 7 patients with impermeable cervical postcorrosive or fibrous post-irradiational stenosis.…”

Section: Discussionmentioning

confidence: 99%

“…28 Our findings regarding etiology of the stricture are similar to the others. 13,25,27,29 Other common etiologies for benign strictures include previous caustic ingestion (34/98), history of radiation therapy (2), prior use of sclerotherapy, or surgical alterations of the normal esophageal anatomy (4/98) ( Table 3). The patients who are most likely to require surgical intervention are those with complex or resistant and perhaps multiple strictures.…”

Section: Discussionmentioning

confidence: 99%

“…Short‐jejunal segment interposition on the long vascular pedicle has not often been performed in surgical practice due to a complex technique of long pedicle isolation. Since the first report of Katsura in 1958, 26 this procedure had been performed on rare occasions, but later, it was more often in use in Japan (Kasai 1965) as the technique advanced 3,12,17,23,27 . For cervical esophageal replacement, plastic skin and intestinal short‐segments including almost all routes of transposition were used.…”

Section: Discussionmentioning

confidence: 99%

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Short-segment jejunoplasty: the option treatment in the management of benign esophageal stricture

Randjelović¹,

Dikić²,

Filipović³

et al. 2007

Diseases of the Esophagus

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A non-dilatable benign stricture of the esophagus is a problem for the patient and always a challenge for the surgeon. The present study is intended to provide some details of surgical technique and the physiological concept that constitutes the basis for patient selection for short-segment jejunoplasty. In this study, out of 98 patients, 91 had complex stricture of the lower, and seven of the cervical esophagus. The main cause of stenosis in 60 patients (61.2%) was gastroesophageal reflux, in 34 (34.7%) post-corrosive damage, and in three (3.0%) it was other causes. All patients were treated by three methods of jejunoplasty: group I (n=54 patients) short-segment of the jejunum; group II (n=37 pts) Roux-en-Y double tract; and group III (n=7 patients) short jejunal segment on the long vascular pedicle. Intraoperative complications occurred in 17 (17.34%) of the patients. An anastomotic leak occurred only in three (3.29%) in group I and II, and 1/98 patients (1.02%) died from mediastinitis. Follow-up of functional results for up to 36 months (average 18 months) was available in 77/97 (79.3%) hospital survivors. Fifty-seven (74%) patients are satisfied with their ability to take food, postoperative reflux was completely denied by 72 (93.5%) patients. Postvagotomy diarrhea was transient and gradually subsided over the course of the first 6 months.

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Surgery for benign esophageal stricture

Cited by 21 publications

References 21 publications

Evaluation and management of benign esophageal strictures

Evaluation and management of benign esophageal strictures

Colon interposition in the treatment of corrosive esophageal strictures: 100 patients in seven years

Short-segment jejunoplasty: the option treatment in the management of benign esophageal stricture

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