Successful new treatment for intractable cervical esophageal stenosis of a jejunal segment transpositioned with a vascular anastomosis: report of a case

Strictures of the alimentary tract are conventionally treated by fluoroscopically guided bouginage and endoscopic balloon dilation, which is often very effective. However, severe and recurrent stenosis associated with ischemic injury in a jejunal segment transpositioned with a vascular anastomosis after reconstruction for cervical esophageal cancer is an intractable problem. We describe a new method using a Steno-Cutter to successfully treat a patient with this type of stricture following surgery for cervical esophageal cancer. The positive results achieved in this case suggest that our new method could represent a promising option of treatment for strictures when conventional modalities fail. Received: October 25, 2001 / Accepted: May 7, 2002 Acknowledgment. This work was supported in part by the 29th award from the Japanese Society for Advancement of Surgical Techniques. Reprint requests to: S. Shimada