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CC BY 4.0 · European J Pediatr Surg Rep. 2023; 11(01): e32-e35
DOI: 10.1055/s-0043-1769106
Case Report

Hyperspectral Imaging—A Novel Tool to Assess Tissue Perfusion and Oxygenation in Esophageal Anastomoses

Duarte Vaz Pimentel
1   Department of Pediatric Surgery, University Hospital Leipzig, Leipzig, Sachsen, Germany
,
Larissa Merten
1   Department of Pediatric Surgery, University Hospital Leipzig, Leipzig, Sachsen, Germany
,
Jan-Hendrik Gosemann
1   Department of Pediatric Surgery, University Hospital Leipzig, Leipzig, Sachsen, Germany
,
Ines Gockel
2   Department of Visceral, Transplantation, Thoracic and Vascular Surgery, University Hospital Leipzig, Leipzig, Sachsen, Germany
,
Boris Jansen-Winkeln
2   Department of Visceral, Transplantation, Thoracic and Vascular Surgery, University Hospital Leipzig, Leipzig, Sachsen, Germany
,
Steffi Mayer
1   Department of Pediatric Surgery, University Hospital Leipzig, Leipzig, Sachsen, Germany
,
Martin Lacher
1   Department of Pediatric Surgery, University Hospital Leipzig, Leipzig, Sachsen, Germany
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Abstract

Anastomotic stricture and leakage are common complications after repair of esophageal atresia (EA). A compromised perfusion of the anastomosis is a contributing factor. Hyperspectral imaging (HSI) is an ultrashort noninvasive method to measure tissue perfusion. We present two cases of with tracheoesophageal fistula (TEF)/EA repair, in whom we applied HSI: the first patient was a newborn with EA type C who underwent open TEF repair. The second one had an EA type A and cervical esophagostomy, in whom we performed gastric transposition. In both patients, HSI confirmed a good tissue perfusion of the later anastomosis. The postoperative course was uneventful and both patients are on full enteral feeds. We conclude that HSI is a safe and noninvasive tool that allows near real-time assessment of tissue perfusion and can contribute to the identification of the optimal anastomotic region during pediatric esophageal surgery.

Keywords

perfusion - hyperspectral imaging - esophageal atresia - anastomotic stricture - anastomotic leakage


Publication History

Received: 18 July 2021

Accepted: 03 October 2022

Article published online:
12 June 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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