[A new surgical management of esophageal stenosis without esophagectomy].
In many cases, reflux esophagitis following surgical treatment for esophageal stenosis is caused by the recurrence of that after esophagectomy and esophogogastrostomy. We performed a new management without esophagectomy for a 66-year-old man with sliding hiatal hernia and esophageal stenosis induced by reflux esophagitis. A Expanding Metalic Stent (MES) was inserted to the stenotic portion of the esophagus, and then Collis-Nissen's procedure was done through left thoracotomy and phrenotomy. The postoperative course was satisfactory, and no gastroes-ophageal reflux was detected with the use of 24h pH-monitoring of the esophagus after surgery.
Uchida
Y
Y
Department of Surgery II, Oita Medical University, Japan.
Hashimoto
T
T
Matsumoto
K
K
Noguchi
T
T
D000368:Aged; D004940:Esophageal Stenosis / Q000209:etiology / Q000601:surgery*; D004942:Esophagitis, Peptic / Q000150:complications / Q000601:surgery*; D005260:Female; D018662:Fundoplication; D006801:Humans; D008297:Male; D008722:Methods; D012008:Recurrence; D012086:Reoperation; D015607:Stents