Esophagogastric separation and abdominal esophagostomy via jejunal interposition: a new operation for extreme forms of pathologic aerophagia.

Abstract

Pathologic aerophagia is sometimes seen in patients with neurologic disorders. It rarely causes massive bowel distention, ileus, and volvulus. Here, we report the use of esophagogastric separation and abdominal esophagostomy via jejunal interposition to prevent bowel distention caused by severe aerophagia in 2 patients with neurologic disorders in whom the usual nonoperative methods of management failed. In both cases, swallowed air was evacuated via the jejunostomy, eliminating bowel distention. This operation may be useful in patients with neurologic disorders associated with severe aerophagia.

• Authors: Hiroaki Fukuzawa, Naoto Urushihara, Koji Fukumoto, Akihide Sugiyama, Maki Mitsunaga, Kentaro Watanabe, Shiro Hasegawa
• Journal: Journal of pediatric surgery (J Pediatr Surg) Vol. 46 Issue 10 Pg. 2035-7 (Oct 2011) ISSN: 1531-5037 [Electronic] United States
• PMID: 22008348 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2011 Elsevier Inc. All rights reserved.

Topics

• Abnormalities, Multiple
• Adolescent
• Aerophagy (etiology, surgery)
• Anastomosis, Surgical
• Cytomegalovirus Infections (complications)
• Encephalitis, Viral (complications)
• Esophagogastric Junction (surgery)
• Esophagostomy (methods)
• Gastrostomy
• Humans
• Intellectual Disability (complications)
• Intestinal Volvulus (etiology, prevention & control, surgery)
• Jejunostomy (methods)
• Kidney Neoplasms
• Male
• Pylorus (surgery)
• Reoperation
• Surgical Stapling
• Surgically-Created Structures
• Vagotomy (methods)
• Wilms Tumor