title: The operation of upper esophageal web in Plummer-Vinson syndrome: a case report.
abstract: Most cases of dysphagia associated with Plummer-Vinson syndrome are expected to improve with the oral administration of ferrous agents. When a web is the cause of the symptoms, surgical management is rarely necessary. However the surgical indication and technique for the web have been controversial. The patient was a 56-year-old woman who complained of restricted dietary habit because of an upper esophageal circumferential web associated with Plummer-Vinson syndrome. The circumferential and membranous web was resected with a surgical knife and scissors through the inner lumen of esophagus and the raw surface was sutured at five places with 4-0 proline thread under microlaryngosurgery. This surgical treatment resulted in diminished dysphagia and no recurrence of the web after the surgery.
authors.affiliation: Department of Otolaryngology, National Defense Medical College, Tokorozawa, Saitama, Japan.
authors.forename: S
authors.initials: S
authors.lastname: Kitahara
authors.forename: Y
authors.initials: Y
authors.lastname: Ohmae
authors.forename: M
authors.initials: M
authors.lastname: Ogura
authors.forename: Y
authors.initials: Y
authors.lastname: Matumura
mesh_terms: D003680:Deglutition Disorders / Q000209:etiology* / Q000601:surgery*; D004947:Esophagus / Q000601:surgery*; D005260:Female; D006801:Humans; D008866:Microsurgery / Q000379:methods; D008875:Middle Aged; D011004:Plummer-Vinson Syndrome / Q000150:complications*; D016896:Treatment Outcome