MCRA of an anastomotic stenosis after esophagoesophagostomy for long gap esophageal atresia: a case report.
A 25-month-old boy with long gap esophageal atresia developed severe esophageal stenosis refractory to balloon dilatations after definitive esophagoesophagostomy. At 33 months of age, the patient had a magnetic compression revision anastomosis, in which a pair of 2 cylindrical Samarium-cobalt rare-earth 320 mT (3200 G) magnets, 15 x 5 mm (diameter x thickness), were placed in the esophagus to compress the scar tissue of the anastomosis. The magnets were retrieved 34 days after the magnetic compression revision anastomosis procedure. For 3 months, the patient subsequently had balloon dilatations to prevent restenosis, and he has been able to eat normally by mouth without further balloon dilatations since then.
Takamizawa
Shigeru
S
Department of Surgery, Kobe Children's Hospital, Kobe 654-0081, Japan. takamizawa_kch@hp.pref.hyogo.jp
Yamanouchi
Eigoro
E
Muraji
Toshihiro
T
Nishijima
Eiji
E
Satoh
Shiiki
S
Tsugawa
Jiro
J
D000714:Anastomosis, Surgical / Q000379:methods*; D002404:Catheterization; D002675:Child, Preschool; D004933:Esophageal Atresia / Q000601:surgery*; D004940:Esophageal Stenosis / Q000209:etiology* / Q000601:surgery*; D004944:Esophagoplasty; D004946:Esophagostomy; D006801:Humans; D008280:Magnetics; D008297:Male; D012086:Reoperation