Indocyanine green fluorescence imaging for subtotal esophagectomy due to esophageal stenosis after acute esophageal necrosis : a report of two cases
Although esophageal stricture after acute esophageal necrosis (AEN) is often refractory to dilation therapy, there have been few reports of surgical intervention. We report two rare cases of successful subtotal esophagectomy and esophagogastrostomy for esophageal strictures after AEN using indocyanine green (ICG) fluorescence imaging. In case 1, emergent esophagogastroduodenoscopy (EGD) in a 56-year-old man with coffee-ground emesis revealed black esophageal mucosa in the middle to lower esophagus, indicating AEN. Despite conservative therapy, an esophageal stricture developed after 2 weeks. Repeated endoscopic balloon dilation (EBD) did not resolve the stenosis; esophagectomy was thus performed approximately 6 months after AEN onset. We evaluated the blood flow to the esophagus using ICG fluorescence imaging to determine the proximal surgical resection line. The postoperative course was uneventful. In case 2, an 81-year-old woman with upper gastrointestinal bleeding with hematemesis and chest pain was diagnosed with AEN by EGD and was treated with conservative therapy. An esophageal stricture developed after 3 weeks, and repeated EBD was ineffective. Approximately 2 months after AEN onset, she underwent esophagectomy using ICG fluorescence imaging. The postoperative course was uneventful. Considering that AEN is a blood flow disorder, ICG fluorescence imaging is a useful technology to prevent surgical morbidity.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:14 |
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| Enthalten in: |
Clinical journal of gastroenterology - 14(2021), 2 vom: 22. Apr., Seite 415-421 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Imaoka, Kouki [VerfasserIn] |
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| Links: |
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| Themen: |
Acute esophageal necrosis |
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| Anmerkungen: |
Date Completed 25.06.2021 Date Revised 25.06.2021 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1007/s12328-020-01326-x |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM320434052 |
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| 100 | 1 | |a Imaoka, Kouki |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Indocyanine green fluorescence imaging for subtotal esophagectomy due to esophageal stenosis after acute esophageal necrosis |b a report of two cases |
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| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Although esophageal stricture after acute esophageal necrosis (AEN) is often refractory to dilation therapy, there have been few reports of surgical intervention. We report two rare cases of successful subtotal esophagectomy and esophagogastrostomy for esophageal strictures after AEN using indocyanine green (ICG) fluorescence imaging. In case 1, emergent esophagogastroduodenoscopy (EGD) in a 56-year-old man with coffee-ground emesis revealed black esophageal mucosa in the middle to lower esophagus, indicating AEN. Despite conservative therapy, an esophageal stricture developed after 2 weeks. Repeated endoscopic balloon dilation (EBD) did not resolve the stenosis; esophagectomy was thus performed approximately 6 months after AEN onset. We evaluated the blood flow to the esophagus using ICG fluorescence imaging to determine the proximal surgical resection line. The postoperative course was uneventful. In case 2, an 81-year-old woman with upper gastrointestinal bleeding with hematemesis and chest pain was diagnosed with AEN by EGD and was treated with conservative therapy. An esophageal stricture developed after 3 weeks, and repeated EBD was ineffective. Approximately 2 months after AEN onset, she underwent esophagectomy using ICG fluorescence imaging. The postoperative course was uneventful. Considering that AEN is a blood flow disorder, ICG fluorescence imaging is a useful technology to prevent surgical morbidity | ||
| 650 | 4 | |a Case Reports | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Acute esophageal necrosis | |
| 650 | 4 | |a Black esophagus | |
| 650 | 4 | |a Bypass operation | |
| 650 | 4 | |a Esophagectomy | |
| 650 | 4 | |a Indocyanine green fluorescence imaging | |
| 650 | 7 | |a Indocyanine Green |2 NLM | |
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| 700 | 1 | |a Harano, Masao |e verfasserin |4 aut | |
| 700 | 1 | |a Oshita, Ko |e verfasserin |4 aut | |
| 700 | 1 | |a Yano, Takuya |e verfasserin |4 aut | |
| 700 | 1 | |a Kubota, Tetsushi |e verfasserin |4 aut | |
| 700 | 1 | |a Yoshimitsu, Masanori |e verfasserin |4 aut | |
| 700 | 1 | |a Nakano, Kanyu |e verfasserin |4 aut | |
| 700 | 1 | |a Idan, Hitoshi |e verfasserin |4 aut | |
| 700 | 1 | |a Shiozaki, Shigehiro |e verfasserin |4 aut | |
| 700 | 1 | |a Okajima, Masazumi |e verfasserin |4 aut | |
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