Endoscopic cicatrectomy for corrosive esophageal strictures just below the piriform fossa

Koji Fukumoto; Go Miyano; Masaya Yamoto; Hiroshi Nouso; Hiromu Miyake; Masakatsu Kaneshiro; Hideaki Nakajima; Mariko Koyama; Naoto Urushihara

doi:10.1016/j.epsc.2015.01.003

Endoscopic cicatrectomy for corrosive esophageal strictures just below the piriform fossa

Koji Fukumoto, Go Miyano, Masaya Yamoto, Hiroshi Nouso, Hiromu Miyake, Masakatsu Kaneshiro, Hideaki Nakajima, Mariko Koyama, Naoto Urushihara

Research output: Contribution to journal › Article › peer-review

Abstract

Corrosive esophageal strictures have been primarily treated using balloon dilatation or endoscopic bougienage. However, many patients experience recurrence after dilatation, and surgical interventions such as esophageal replacement have been attempted. We have performed endoscopic cicatrectomy using a laryngoscope for corrosive esophageal stricture just below the piriform fossa to minimize surgical invasiveness. In this case reported, repeated balloon dilatation therapy failed, and the combination of endoscopic cicatrectomy and intralesional triamcinolone acetonide injections proved most effective even though multiple cicatrectomies were required. If esophageal strictures are close to the piriform fossa, endoscopic cicatrectomy could be one useful surgical option.

Original language	English
Pages (from-to)	100-103
Number of pages	4
Journal	Journal of Pediatric Surgery Case Reports
Volume	3
Issue number	3
DOIs	https://doi.org/10.1016/j.epsc.2015.01.003
Publication status	Published - Mar 2015
Externally published	Yes

Keywords

Cicatrectomy
Corrosive esophageal stricture
Surgical intervention

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Surgery

Access to Document

10.1016/j.epsc.2015.01.003

Cite this

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title = "Endoscopic cicatrectomy for corrosive esophageal strictures just below the piriform fossa",

abstract = "Corrosive esophageal strictures have been primarily treated using balloon dilatation or endoscopic bougienage. However, many patients experience recurrence after dilatation, and surgical interventions such as esophageal replacement have been attempted. We have performed endoscopic cicatrectomy using a laryngoscope for corrosive esophageal stricture just below the piriform fossa to minimize surgical invasiveness. In this case reported, repeated balloon dilatation therapy failed, and the combination of endoscopic cicatrectomy and intralesional triamcinolone acetonide injections proved most effective even though multiple cicatrectomies were required. If esophageal strictures are close to the piriform fossa, endoscopic cicatrectomy could be one useful surgical option.",

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author = "Koji Fukumoto and Go Miyano and Masaya Yamoto and Hiroshi Nouso and Hiromu Miyake and Masakatsu Kaneshiro and Hideaki Nakajima and Mariko Koyama and Naoto Urushihara",

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AU - Fukumoto, Koji

AU - Miyano, Go

AU - Yamoto, Masaya

AU - Nouso, Hiroshi

AU - Miyake, Hiromu

AU - Kaneshiro, Masakatsu

AU - Nakajima, Hideaki

AU - Koyama, Mariko

AU - Urushihara, Naoto

PY - 2015/3

Y1 - 2015/3

N2 - Corrosive esophageal strictures have been primarily treated using balloon dilatation or endoscopic bougienage. However, many patients experience recurrence after dilatation, and surgical interventions such as esophageal replacement have been attempted. We have performed endoscopic cicatrectomy using a laryngoscope for corrosive esophageal stricture just below the piriform fossa to minimize surgical invasiveness. In this case reported, repeated balloon dilatation therapy failed, and the combination of endoscopic cicatrectomy and intralesional triamcinolone acetonide injections proved most effective even though multiple cicatrectomies were required. If esophageal strictures are close to the piriform fossa, endoscopic cicatrectomy could be one useful surgical option.

AB - Corrosive esophageal strictures have been primarily treated using balloon dilatation or endoscopic bougienage. However, many patients experience recurrence after dilatation, and surgical interventions such as esophageal replacement have been attempted. We have performed endoscopic cicatrectomy using a laryngoscope for corrosive esophageal stricture just below the piriform fossa to minimize surgical invasiveness. In this case reported, repeated balloon dilatation therapy failed, and the combination of endoscopic cicatrectomy and intralesional triamcinolone acetonide injections proved most effective even though multiple cicatrectomies were required. If esophageal strictures are close to the piriform fossa, endoscopic cicatrectomy could be one useful surgical option.

KW - Cicatrectomy

KW - Corrosive esophageal stricture

KW - Surgical intervention

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Endoscopic cicatrectomy for corrosive esophageal strictures just below the piriform fossa

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

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