| Item type |
学術雑誌論文 / Journal Article_02(1) |
| 公開日 |
2025-06-17 |
| タイトル |
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タイトル |
Endoscopic recanalization for the complete closure of long-gap esophageal atresia after reconstruction surgery |
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言語 |
en |
| 言語 |
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言語 |
eng |
| キーワード |
|
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主題Scheme |
Other |
|
キーワード |
Complete esophageal closure |
| キーワード |
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|
主題Scheme |
Other |
|
キーワード |
Endoscopic recanalization |
| キーワード |
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|
主題Scheme |
Other |
|
キーワード |
Long-gap esophageal atresia |
| キーワード |
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主題Scheme |
Other |
|
キーワード |
Puncture needle |
| 資源タイプ |
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資源タイプ |
journal article |
| アクセス権 |
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アクセス権 |
open access |
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アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 著者 |
Shin, Kashima
Kentaro, Moriichi
Yu, Kobayashi
Yuya, Sugiyama
Yuki, Murakami
Takahiro, Sasaki
Keitaro, Takahashi
Katsuyoshi, Ando
Nobuhiro, Ueno
Hiroki, Tanabe
Mikihiro, Fujiya
|
| bibliographic_information |
en : BMC gastroenterology
巻 22,
号 1,
p. 132,
発行日 2022-03-22
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| ISSN |
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収録物識別子タイプ |
EISSN |
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収録物識別子 |
1471-230X |
| DOI |
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関連タイプ |
isIdenticalTo |
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識別子タイプ |
DOI |
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関連識別子 |
https://doi.org/10.1186/s12876-022-02207-y |
| リンクURL |
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内容記述タイプ |
Abstract |
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内容記述 |
https://bmcgastroenterol.biomedcentral.com/articles/10.1186/s12876-022-02207-y |
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言語 |
en |
| item_1716186501932 |
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関連タイプ |
isIdenticalTo |
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識別子タイプ |
PMID |
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関連識別子 |
35317744 |
| item_5_description_33 |
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内容記述タイプ |
Abstract |
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内容記述 |
Background: Reconstruction surgery-associated stricture frequently occurs in patients with long-gap esophageal atresia (LGEA). While several endoscopic dilatation methods have been applied and would be desirable, endoscopic recanalization is very difficult in cases with complete esophageal closure. Surgical treatment has been performed for a severe stricture, which causes extensive damage to the infant. No reports have described successful endoscopic recanalization for complete closure due to scarring after surgery for LGEA. We herein report the case of successful endoscopic recanalization by single endoscopist in an LGEA patient with complete closure after reconstruction surgery.
Case presentation: A seven-month-old boy with LGEA who received reconstruction surgery and gastrostomy immediately after birth presented to our unit due to vomiting and malnutrition. Contrast radiography and peroral endoscopy detected complete closure of the esophagus at the anastomotic site. After confirming the length of stricture as several millimeters, we punctured the center of the lumen with a 25-G puncture needle under fluoroscopy. An endoscope was then inserted via the gastrostomy and the puncture hole was detected at the center of the lumen. After passing the guidewire, endoscopic balloon dilation was performed three times, and the hole was sufficiently dilatated. Oral ingestion was feasible, and his nutritional condition was improved.
Conclusions: To our knowledge, this is the first report to propose a less invasive endoscopic approach to recanalize a site of complete esophageal closure in a LGEA patient after reconstruction surgery by single endoscopist. Our endoscopic procedure using an ultrathin endoscope and puncture needle may be a therapeutic option for the treatment of patients with complete esophageal closure in a LGEA patient after reconstruction surgery |
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言語 |
en |
| 注記 |
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内容記述タイプ |
Other |
|
注記 |
This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made |
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言語 |
en |
| 出版タイプ |
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出版タイプ |
VoR |
| item_5_textarea_42 |
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en |
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© 2022. The Author(s). |
35317744.pdf (816 KB)
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