2022 Volume 58 Issue 7 Pages 972-977
A 15-month-old male patient, who underwent surgery for esophageal atresia (EA) with distal tracheoesophageal fistula at the age of one day, in whom we had difficulty in inserting a post-anastomotic tube, was suspected of having congenital esophageal stenosis (CES) at the lower esophagus. Postoperative feeding and weight gain were satisfactory, but frequent vomiting appeared from about seven months after birth when weaning diet was started, and endoscopic ultrasonography revealed CES associated with a tracheobronchial remnant. At the age of one year and three months, congenital esophageal stricture resection and esophageal anastomosis were performed. Since the CES anastomotic site was found to be highly tense, blood flow was evaluated at the anastomotic site using the indocyanine green (ICG) fluorescence method after the esophageal anastomosis. It was confirmed that the blood flow at the anastomotic site was maintained. Postoperative anastomotic stenosis was observed, but it was improved by endoscopic balloon dilatation. Currently at the age of three years, he eats a normal diet and gaining weight well. We report on the evaluation of blood flow at the anastomotic site using the ICG fluorescence method in CES esophageal anastomosis after EA.
