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KMID : 0364019750080010057
Korean Journal of Thoracic and Cardiovascular Surgery
1975 Volume.8 No. 1 p.57 ~ p.60
A Case of Congenital Esophageal Stricture due to Ectopic Tracheal Cartilaginous Ring Complicated by Peptic Esophageal Stricture after Esophagogastrostmy


Abstract
Congenital esophageal strieture is infrequent disease entity and usually occurs in the midesophagus, Tracheobronchial remnants in the esophagus causing esophageal stricture are extremely rare, and only few cases were reported in the literature.
During last 17 years the authors experienced a case of congenital esophageal stricture due to octopic tracheal cartilaginous ring who was complicated by peptic esophageal stricture 11 years after esophagogastrostomy.
During thoracotomy we thought that the patient had untal achalasia of the esophagus, and culdn¢¥t perform cardiomyotomy because of firm ring encircling the lower esophagus just above the hiatus. The patient was operated on lower esophagectomy including cardia and esophagogastrostomy at his age of two and a half years.
Postoperatively the patient did well for 11 years but later he developed intermittent regurgitation without substernal burning, and reoperated under the diagnosis of peptic esophageal stricturelower esophagectomy, proximal gastrectomy, esophagogastrostomy and Heineke-Mikulicz pylorou-plasty-with good operative result.
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