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 journalArticle

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 languageEnglish
Pages (from-to)100-103
Number of pages4
JournalJournal of Pediatric Surgery Case Reports
Volume3
Issue number3
DOIs
Publication statusPublished - Mar 2015
Externally publishedYes

Fingerprint

Pyriform Sinus
Esophageal Stenosis
Caustics
Dilatation
Laryngoscopes
Triamcinolone Acetonide
Recurrence
Injections
Therapeutics

Keywords

  • Cicatrectomy
  • Corrosive esophageal stricture
  • Surgical intervention

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery

Cite this

Endoscopic cicatrectomy for corrosive esophageal strictures just below the piriform fossa. / Fukumoto, Koji; Miyano, Go; Yamoto, Masaya; Nouso, Hiroshi; Miyake, Hiromu; Kaneshiro, Masakatsu; Nakajima, Hideaki; Koyama, Mariko; Urushihara, Naoto.

In: Journal of Pediatric Surgery Case Reports, Vol. 3, No. 3, 03.2015, p. 100-103.

Research output: Contribution to journalArticle

Fukumoto, K, Miyano, G, Yamoto, M, Nouso, H, Miyake, H, Kaneshiro, M, Nakajima, H, Koyama, M & Urushihara, N 2015, 'Endoscopic cicatrectomy for corrosive esophageal strictures just below the piriform fossa', Journal of Pediatric Surgery Case Reports, vol. 3, no. 3, pp. 100-103. https://doi.org/10.1016/j.epsc.2015.01.003
Fukumoto, Koji ; Miyano, Go ; Yamoto, Masaya ; Nouso, Hiroshi ; Miyake, Hiromu ; Kaneshiro, Masakatsu ; Nakajima, Hideaki ; Koyama, Mariko ; Urushihara, Naoto. / Endoscopic cicatrectomy for corrosive esophageal strictures just below the piriform fossa. In: Journal of Pediatric Surgery Case Reports. 2015 ; Vol. 3, No. 3. pp. 100-103.
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