title: Transhiatal jejunal interposition preserving the whole stomach and vagal trunk for a benign esophageal stricture in a male adolescent: report of a case.
abstract: Benign esophageal strictures are generally treated with medication and balloon dilation; however, when repeated dilations fail, surgery is the only option. When performing surgery for benign esophageal stricture in young patients, it is important to consider not only the surgical stress and likelihood of complications but also digestive function after reconstruction, the durability of the reconstruction, and the potential for cancerous change in the reconstructed organs. We describe how we treated a 14-year-old boy with benign esophageal stricture by performing transhiatal esophagectomy assisted by mediastinoscopy, preserving the whole stomach and vagus nerve, and interposing pedicled jejunum between the cervical esophagus and stomach through a posterior mediastinal route, with good long-term results.
authors.affiliation: Department of Surgery, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita, 010-8543, Japan.
authors.forename: Satoru
authors.initials: S
authors.lastname: Motoyama
authors.forename: Reijiro
authors.initials: R
authors.lastname: Saito
authors.forename: Mayako
authors.initials: M
authors.lastname: Morii
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Yoshino
authors.forename: Tatsuzo
authors.initials: T
authors.lastname: Hebiguchi
authors.forename: Jun-ichi
authors.initials: J
authors.lastname: Ogawa
mesh_terms: D000293:Adolescent; D004940:Esophageal Stenosis / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery*; D016629:Esophagectomy / Q000379:methods*; D004945:Esophagoscopy / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D008297:Male; D008481:Mediastinoscopy / Q000379:methods*; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D018570:Risk Assessment; D013270:Stomach / Q000601:surgery; D016896:Treatment Outcome; D014472:Umbilicus / Q000601:surgery; D014630:Vagus Nerve / Q000601:surgery