JTCS KCI
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Darroch Moores
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Moores, C. R.
Right arrow Articles by Moores, D.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Moores, C. R.
Right arrow Articles by Moores, D.
Related Collections
Right arrow Esophagus - other

J Thorac Cardiovasc Surg 2009;138:1439-1441
© 2009 The American Association for Thoracic Surgery

Brief Technique Report

Thoracic esophagostomy: A novel surgical approach for preservation of esophageal length for use in subsequent reconstruction

Craig R. Moores, BA, Darroch Moores, MD*

Albany Medical College, Albany, NY

Received for publication September 4, 2008; accepted for publication September 27, 2008.

* Address for reprints: Darroch Moores, MD, Albany Medical College, Department of Thoracic Surgery, 43 New Scotland Ave, Albany, NY 12208. (Email: dmoores1@nycap.rr.com).

The first 20% of the full text of this article appears below.


   Introduction
 
We report two cases of end thoracic esophagostomy. This novel approach can be utilized to preserve esophageal length for reanastomosis in secondary reconstruction.


   Clinical Summary
 
Patient 1
The first patient was a newborn male patient with necrosis of the stomach, colon, and small bowel due to maternal abuse of crack cocaine. At 24 hours of age, the infant underwent total gastrectomy, right hemicolectomy, and subtotal small bowel resection. Due to intraoperative instability, reconstruction was delayed. An end esophageal thoracic esophagostomy was performed posteriorly through a resected portion of the 10th rib, just lateral to the paraspinal muscles (Figure 1, A ). The infant was then allowed to grow and stabilize for 3 months with a feeding jejunostomy. At 3 months, the esophagostomy was taken down and the infant was reconstructed. The midtransverse colon was isolated as used with an end-to-side esophagocolostomy and a Roux-en-Y jejunocolostomy (Figure 1, B). Subsequently, he has done well and thrived.


Figure Removed (Available Only in the Full Text)
View larger version (33K):



  		Figure 1. . . . [Full Text of this Article]

 





HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2009 by The American Association for Thoracic Surgery.