2010, Number 2
Transillumination esophagomyotomy by video-assisted endoscopy An option for caustic esophageal stricture dilation therapy persistent
Ortega-Salgado JA, Espinosa-Rosas P, Mundo-Alegría AX
Full text
Language: Spanish
References: 11
Page: 90-94
PDF size: 326.30 Kb.
ABSTRACT
Introduction: Restore the continuity of the digestive tract in caustic esophageal stenosis is a surgical challenge. Preserve the native esophagus trough the prolonged use of dilatation therapy can present complications such as esophageal disorders in feeding, dysphagia, jaw problems, joint and dental disease. The best substitute of esophagus is the colon, but it carries a high morbidity such as anastomotic leakage, fistula, necrosis, perforation, stenosis, redundancy of interposed colon, bleeding, gastrocolonic reflux and others. The esophageal myotomy have been described for the management of achalasia, but we found not reports if it’s use in caustic esophageal stenosis.
Case report: The case report a child with two esophageal caustic stenosis who not responded to the dilatation program therapy, a double myotomy was performed through right posterolateral thoracotomy with videoendoscopy esophagic transillumination to locate the two stenosis areas, during the procedure. The clinical and endoscopic follow up with adequate response.
Discusión: Esophageal rescue by this procedure improves the quality of life and has no the morbidity of colonic transposition. The patient monitoring by endoscopic control could effort the diagnosis of esophageal cancer risk. We think that clinical, radiographic and endoscopic response was adequate so, need more cases to asses whether this may be part of a new therapeutic option.
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