A case of reconstruction of jejunum for anastomotic stricture by ischemic colon following esophagectomy.

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  • HOSOKAWA Ayu
    First Department of Surgery, School of Medicine, University of Tokushima
  • NISHI Masaharu
    First Department of Surgery, School of Medicine, University of Tokushima
  • YAMAGUCHI Takeshi
    First Department of Surgery, School of Medicine, University of Tokushima
  • SASAKI Kenji
    First Department of Surgery, School of Medicine, University of Tokushima
  • ANDOU Tsutomu
    First Department of Surgery, School of Medicine, University of Tokushima
  • TASHIRO Seiki
    First Department of Surgery, School of Medicine, University of Tokushima

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Other Title
  • 食道再建結腸が虚血性狭窄をきたし，挙上空腸で再再建を行った１例

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Abstract

A 58-year-old man underwent esophagectomy with reconstruction of the right hemicolon for esophageal cancer after gastrectomy. Dysphagia appeared 2 months after surgery. Endoscopic balloon dilation and bougienage were conducted repeatedly, but it eventually became impossible for the patient to drink water. Esophagography showed an anastomotic stricture about 10cm long. Angiography of the superior mesenteric artery showed that middle colic artery was completely obstructed suggesting that the stricture was caused by ischemic change. The colon and stricture were left at the retrosternal route, and esophageal resection and esophagojejunostomy were conducted subcutaneously. The postoperative course was eventful, and the patient was discharged 26 days after surgery. Anastomotic long stricture by ischemic change following esophagectomy is a good indication for surgery.

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