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

Archives of Plastic Surgery 2020년 47권 2호 p.178 ~ 181
Fujisawa Daisuke, Asato Hirotaka, Tanaka Katsunori, Itokazu Tetsuo, Kojya Shizuo,
소속 상세정보
 ( Fujisawa Daisuke ) - Dokkyo Medical University Department of Plastic and Reconstructive Surgery
 ( Asato Hirotaka ) - Dokkyo Medical University Department of Plastic and Reconstructive Surgery
 ( Tanaka Katsunori ) - Nakagami Hospital Department of Otorhinolaryngology, Head and Neck Surgery
 ( Itokazu Tetsuo ) - Nakagami Hospital Department of Otorhinolaryngology, Head and Neck Surgery
 ( Kojya Shizuo ) - Nakagami Hospital Department of Otorhinolaryngology, Head and Neck Surgery

Abstract


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.

키워드

Virtual endoscopy; Esophageal stenosis; Burn, chemical; Jejunal transfer

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