Partial esophageal transplantation is possible as part of a multivisceral graft.
We report a case of a 9-year-old female with inflammatory myofibroblastic tumor (IMT), which involved the upper retroperitoneum, visceral vessels, stomach and distal esophagus. Complete resection of the tumor required a multivisceral (MV) transplant. Due to tumor involvement, resection of the distal third of recipient esophagus was necessary. Gastrointestinal continuity was subsequently established via esophagoesophagostomy to donor esophagus en bloc with a standard MV graft. After 1.9 years of follow-up, the patient has no symptoms of dysphagia or reflux. This case illustrates the feasibility of including the distal donor esophagus as part of an MV graft.
Department of Surgery and Pediatric Transplant Center, Boston Children's Hospital, Boston, MA.
K
K
Vakili
H B
HB
Kim
D002675:Child, Preschool; D004386:Duodenum / Q000601:surgery; D004947:Esophagus / Q000473:pathology / Q000637:transplantation*; D005260:Female; D006801:Humans; D007249:Inflammation / Q000473:pathology / Q000601:surgery*; D009379:Neoplasms, Muscle Tissue / Q000473:pathology / Q000601:surgery*; D016377:Organ Transplantation; D011379:Prognosis; D012186:Retroperitoneal Neoplasms / Q000473:pathology / Q000601:surgery*; D013270:Stomach / Q000601:surgery; D014781:Viscera / Q000601:surgery*
Esophagus; multivisceral; transplant