Cairo Sarah B, Tabak Benjamin, Harmon Carroll M, Bass Kathryn D
Department of Pediatric Surgery, Women and Children's Hospital of Buffalo, 219 Bryant Street, Buffalo, NY, 14222, USA.
Department of Surgery, University at Buffalo, State University of New York School of Medicine and Bioscience, Buffalo, NY, USA.
Pediatr Surg Int. 2017 Sep;33(9):1027-1033. doi: 10.1007/s00383-017-4130-3. Epub 2017 Jul 29.
Anastomotic stricture is a common complication following repair of esophageal atresia (EA). Many factors are thought to contribute to stricture formation and a variety of management techniques have been developed. In this case report, we describe the treatment of a recurrent anastomotic stricture following repair of long-gap esophageal atresia. Porcine bladder extracellular matrix (ECM) was mounted on a stent and delivered endoscopically to the site of recurrent stricture. An appropriate positioning was confirmed using direct endoscopic visualization and intra-operative fluoroscopy. The patient recovered well with persistent radiographic and functional improvements in previous stricture.
吻合口狭窄是食管闭锁（EA）修复术后的常见并发症。许多因素被认为与狭窄形成有关，并且已经开发了多种治疗技术。在本病例报告中，我们描述了一例长间隙食管闭锁修复术后复发性吻合口狭窄的治疗。将猪膀胱细胞外基质（ECM）安装在支架上，并通过内镜输送至复发性狭窄部位。通过直接内镜观察和术中荧光透视确认了合适的位置。患者恢复良好，先前狭窄处的影像学和功能持续改善。
