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CC BY-NC 4.0 · Arch Plast Surg 2020; 47(02): 178-181
DOI: 10.5999/aps.2019.00101
Case Report

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

Daisuke Fujisawa 
Department of Plastic and Reconstructive Surgery, Dokkyo Medical University, Tochigi, Japan
,
Hirotaka Asato
Department of Plastic and Reconstructive Surgery, Dokkyo Medical University, Tochigi, Japan
,
Katsunori Tanaka
Department of Otorhinolaryngology, Head and Neck Surgery, Nakagami Hospital, Okinawa, Japan
,
Tetsuo Itokazu
Department of Otorhinolaryngology, Head and Neck Surgery, Nakagami Hospital, Okinawa, Japan
,
Shizuo Kojya
Department of Otorhinolaryngology, Head and Neck Surgery, Nakagami Hospital, Okinawa, Japan
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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.

Keywords

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

This article was presented at the 45th Annual Meeting of the Japanese Society for Reconstructive Microsurgery, on December 6–7, 2018, in Osaka, Japan.




Publication History

Received: 22 January 2019

Accepted: 06 March 2019

Article published online:
22 May 2022

© 2020. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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