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At least 55 records · Page 3Linked to original sources
PubMed2003

A new technique for esophagoplasty in relatively long esophageal strictures.

A 3-year-old girl with severe dysphagia secondary to caustic stricture of the cervical esophagus (about 4 cm in length) underwent esophagoplasty by a new technique following failed attempts at esophagoscopy and dilatation. This procedure results in a neoesophagus in the region with a lumen approximately twice its previous diameter, which will further increase in size gradually after a number of dilatations. The postoperative course was uneventful. She had almost no dysphagia following four successive dilatations 1, 2, 3 and 5 months after surgery. Barium swallow revealed an acceptable lumen. She was asymptomatic 2 years after surgery.

Burns, Chemical↗
PubMed2005

Sternocleidomastoid myocutaneous esophagoplasty for benign cervical stricture.

Benign strictures of the cervical esophagus that are resistant to dilation present a formidable challenge to the surgeon. Numerous varied techniques have been developed to restore swallowing. Reports of the sternocleidomastoid myocutaneous pedicled flap for repair of benign cervical strictures are scarce. We are reporting a case of residual lye stricture that was treated with sternocleidomastoid myocutaneous esophagoplasty in order to promote awareness of this procedure. This one-stage operation took 1 hour to complete. The patient began eating on postoperative day 4 and has not had any further symptoms.

Esophageal Stenosis↗
PubMed1989

Gastric vascular pedicle patch esophagoplasty for stricture.

Three patients with Barrett's esophagus and strictures between the middle and distal thirds of the esophagus, of 5 to 26 years duration at the time of the plasty, were treated with an infradiaphragmatic Nissen fundoplication and gastric vascular pedicle patch esophagoplasty, based on the right gastroepiploic vessels. Follow-up for 2 patients has been 6 and 7 years; both patients are asymptomatic except for periodic mild dysphagia in 1. The third patient developed cancer after 1 symptom-free year, and had esophagectomy with colon interposition. The results of this operation justify its use in recalcitrant lower intrathoracic esophageal strictures that do not respond to antireflux operation or dilation.

Barrett Esophagus↗
PubMed2002

[The terms of esophagoplasty in children with esophageal atresia].

From 1995 to 2000 twenty-seven coloesophagoplasties were performed in children with esophageal atresia aged from 3 months to 2 years. Patients were divided into 2 groups depending on their age. Group 1 consisted of 13 children aged from 3 to 6 months (mean 5.5 months), group 2-14 children aged from 6 to 24 months (mean 13 months). Course of postoperative period and postoperative complications were the criteria of treatment results. All the parameters were similar in both groups. Postoperative diarrhea was seen more often in group 1. It is concluded that esophagoplasty in children with atresia must be performed as early as possible.

Child, Preschool↗
PubMed1991

[Extracavitary esophageal end-to-side anastomosis in esophagoplasty with a tube formed from the greater curvature of the stomach].

The article discusses information on experience in the formation of 367 extracavitary esophageal anastomoses in esophagoplasty with a tube formed from the greater curvature of the stomach in malignant esophageal tumors. Four main types of anastomosis were encountered: oblique--142, end to end--101, end to side--91, and atypical--33. Various complications occurred in 40.3% of patients, in end to side anastomosis in 26.3% of cases. The authors discuss in detail the operative techniques and the indications for this type of anastomosis. The authors consider it preferable to form the extracavitary esophagogastric anastomosis on the posterior wall of the transplant with a decompression stoma.

Adult↗
PubMed1991

[Esophageal extirpation with one-stage esophagoplasty].

In the period from 1980 to June, 1989 the authors conducted operations on 128 patients for extirpation of the esophagus with one-stage esophagoplasty by means of an isoperistaltic tube formed from the greater curvature of the stomach. Fifty-four of these patients had benign esophageal strictures, 74 had malignant lesions of the esophagus. The authors claim this operation to be the operation of choice in carcinoma of the lower third of the esophagus and in carcinoma of the cardia extending to the thoracic esophagus. It may be carried out in carcinoma of the thoracic esophagus at any level, in benign strictures of the thoracic esophagus, and in stage IV cardiospasm in patients in whom operations had been performed earlier on the cardia. The abdominocervical approach can be supplemented by right thoracotomy in carcinoma of the midthoracic part of the esophagus. Four patients (3%) died after the operation. The authors recommend wider use of the operation.

Esophageal Neoplasms↗
PubMed1990

[Postoperative monitoring after esophagoplasty using a gastric flap].

A clinical method has been developed for postoperative monitoring of the transplants in esophagoplasty which allows to timely diagnose +, correct and prevent ischemic disorders. Criteria of viability of the transplant and gastro-esophageal anastomosis were found. Hemodynamic transformation of the gastric transplant took place two-six months later. Two-six months later a hemodynamic rearrangement of the gastric transplant took place, while the amplitude of pulse oscillations in the distal portion remains less than in the transplant base.

Esophageal Neoplasms↗
PubMed1990

[Total esophagoplasty with pharyngeal anastomosis].

The results of total esophagoplasty in cicatricial stenoses of the esophagus and pharynx are analysed. The technical details of formation of the pharyngeal anastomosis with consideration for the anatomo-physiological peculiarities of the pharynx are explained. The method of pharyngoesophagoplasty in combined cicatricial affections of the esophagus and pharynx is described.

Adolescent↗
PubMed1987

The reversed gastric esophagoplasty in palliation of carcinoma of the esophagus.

The reversed whole stomach was used in 29 patients to bypass nonresectable carcinoma of the esophagus. The mobilized distal stomach, after duodenal transection immediately beyond the pylorus, was placed in a substernal and anterior mediastinal tunnel and the prepyloric area was anastomosed to the cervical esophagus. Lengthening of the stomach was obtained by division of the lesser curve. In this series, the operative mortality rate was 4 per cent, morbidity was minimal and the whole procedure proved relatively easier to perform than the conventional isoperistaltic gastric esophagoplasty. There is no expected improvement in life expectancy, but morbidity decreased because of preservation of the esophagogastric drainage, thus avoiding a mucocele of the excluded esophagus and preservation of the vagus nerves.

Adult↗
PubMedDate not supplied

[A semiflexible forceps for esophagoplasty with a gastric tube].

On the basis of his experience in esophageal surgery (78 esophagoplasties--Gavriliu's techniques I and II) the author devised a semiflexible clip for making the new esophageal tube in the great gastric curvature. Unlike the other clips used, which sometimes produce lesions of the gastric mucosa or of the new esophageal tube--due to the rigidity of their arms--the new clip eliminates these shortcomings by two semiflexible arms (in the upper part) and an effort long scale (in the lower part).

Equipment Design↗
PubMed1989

[30-year experience with performing esophagoplasty using the large intestine].

To restore the function of the esophagus and stomach after chemical burns, in the clinic for 30 years, a method of colonic esophagoplasty has been employed. The experience with treatment of 354 patients permits the authors to consider the given method an optimal. Improvement of a procedure permitted to reduce the number of complications to 11%, mortality--to 2%. Vocational rehabilitation was achieved in 69% of patients.

Burns, Chemical↗
PubMedDate not supplied

[Ensuring the viability of gastric transplants used in esophagoplasty using hemomotordynamic monitoring].

A new method of hemomotordynamic monitoring of an isoperistaltic gastric graft in esophagoplasty was evaluated in the clinic in 27 patients. The method was found to be adequate in determining and ensuring viability of the grafts. The presence of an intramural pulse in all parts of the graft is the criterion of its viability. Monitoring allows early diagnosis and timely surgical and drug correction of reparable ischemic disorders. The change of the surgical tactics during the operation consists in abandoning one-stage formation of the anastomosis and placing the graft in a subcutaneous bed.

Esophagoplasty↗
PubMed1988

Long esophagoplasty: functional study.

The functional results of different types of plasty were evaluated in 46 patients who had undergone esophageal replacement for different pathologies. The patients were classified into three groups according to the type of plasty: I) 19 ileocecocolonoplasties (ICC), II) 11 left colonoplasties (LC), III) 16 gastroplasties (GP). The postoperative studies made were: a) clinical evaluation, b) radiological barium contrast study, c) isotopic transit of semisolid food marked with 99m-Tc colloidal sulfur and d) manometry. The clinical evaluation disclosed no significant differences between the three groups. Isotopic scans revealed more rapid emptying of the ICC, with elimination by the ileal segment in the first minute of 76.3 +/- 3.3% of the isotope, and by the entire plasty of 79.4 +/- 4.2% in 15 minutes (p less than 0.001). The manometric study showed non-response by the GP. The motor activity of the terminal ileoplasty was greater than that of the other plasties studied, and that of the right colonoplasty was greater than that of the left (p less than 0.01). Likewise, the clearance of acid (HCl 0.1N) by the ICC was more rapid than that of the LC (p less than 0.01). It is concluded that, functionally, the ICC is a better long esophagoplasty than the other procedures studied.

Adult↗
PubMed1986

[Gastric esophagoplasty in cancer of the middle third of the esophagus].

The examination of 119 corpses, experiments in 67 dogs and clinical management of 127 patients with the II-III degrees of cancer of the middle third of the esophagus have supported new methods of esophagoplasty by a tube from the greater curvature of the stomach with highly germetic sutures, longer transplants and diaphragmo-percutaneous conduction of it onto the neck. The method is shown to be more safe, less traumatic, not followed by functional alterations of the heart, lungs, diaphragm.

Adult↗
PubMedDate not supplied

[Complications of colonic esophagoplasty. Radiologic aspects].

Early or late postoperative complications in 52 patients undergoing colic esophagoplasty for benign (27 cases) or malignant (25 cases) lesions of esophagus are discussed in relation to radiologic findings. Immediate postoperative complications due to infection were mainly bronchopneumopathies (14 cases), their incidence being increased by recurrent nerve palsy, and mediastinitis (3 cases). The frequency of upper anastomotic fistulae (16 cases) emphasizes the need for routine radiologic follow up on the 7th postoperative day by upper digestive tract follow-through examination with water-soluble contrast. Stenosis of upper part of graft may be of ischemic or fibrous origin. Ischemic stenosis develops 2 weeks to 4 months after surgery as a long filiform narrowing. Fibrous stenosis occurs in upper anastomosis at a later stage, after the 3rd month, as a short regular narrowing. Other complications are rare.

Adolescent↗