J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 3824KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 98(11): 958-964, 1997

Feature topic

A NEW SURGICAL MANAGEMENT OF ESOPHAGEAL STENOSIS WITHOUT ESOPHAGECTOMY

Department of Surgery II, Oita Medical University, Oita, Japan

Yuzo Uchida, Tsuyoshi Hashimoto, Katsuhiko Matsumoto, Tsuyoshi Noguchi

In many cases, reflux esophagitis following surgical treatment for esophageal stenosis is caused by the recurrence of that after esophagectomy and esophogogastrostomy.
We performed a new management without esophagectomy for a 66-year-old man with sliding hiatal hernia and esophageal stenosis induced by reflux esophagitis.
A Expanding Metalic Stent (MES) was inserted to the stemtic portion of the esophagus, and then Collis-Nissen’s procedure was done through left thoracotomy and phrenotomy. The postoperative course was satisfactory, and no gastroes-ophageal reflux was detected with the use of 24h pH-monitoring of the esophagus after surgery.

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