caa a22 4500 606204296 CHVBK 20210128101001.0 cr unu---uuuuu 210128e20150101xx s 000 0 eng 10.1007/s10388-013-0406-4 doi (NATIONALLICENCE)springer-10.1007/s10388-013-0406-4 Utility of transjejunostomal endoscopy following bypass surgery for refractory esophageal ulceration after thoracic aortic aneurysm operation in a patient with Marfan's syndrome [Elektronische Daten] [Keisuke Kubota, Akihiro Okada, Junko Kuroda, Masashi Yoshida, Yuta Horiguchi, Nobuto Origuchi, Yukio Obitsu, Masaki Kitajima] Refractory esophageal ulcerations occur rarely after cardiovascular surgery, occasionally leading to perforation. There is little consensus on their optimal management. Herein, we present a case of refractory esophageal ulceration after cardiovascular surgery. A 62-year-old woman with Marfan's syndrome was referred to our hospital with cardiac failure due to aortic regurgitation. She underwent root replacement by the modified Bentall method. Refractory esophageal ulceration developed 3months later and persisted for 3months despite conservative therapy. With the patient's informed consent, Kirschner bypass surgery was performed. A jejunostomy using a 20 Fr. Nelaton catheter was made in the Roux-en-Y loop of the jejunum for postoperative endoscopy. The postoperative course was uneventful and transjejunostomal endoscopy revealed excellent healing of the ulceration. Esophageal bypass surgery and transjejunostomal endoscopy were very effective in this patient with refractory esophageal ulceration. The Japan Esophageal Society and Springer Japan, 2013 Refractory esophageal ulceration nationallicence Bypass surgery nationallicence Thoracic aortic aneurysm nationallicence Marfan's syndrome nationallicence Transjejunostomal endoscopy nationallicence Kubota Keisuke Department of Gastroenterological Surgery, International University of Health and Welfare Mita Hospital, Mita 1-4-3, Minato-ku, 108-8329, Tokyo, Japan aut Okada Akihiro Department of Gastroenterological Surgery, International University of Health and Welfare Mita Hospital, Mita 1-4-3, Minato-ku, 108-8329, Tokyo, Japan aut Kuroda Junko Department of Gastroenterological Surgery, International University of Health and Welfare Mita Hospital, Mita 1-4-3, Minato-ku, 108-8329, Tokyo, Japan aut Yoshida Masashi Department of Gastroenterological Surgery, International University of Health and Welfare Mita Hospital, Mita 1-4-3, Minato-ku, 108-8329, Tokyo, Japan aut Horiguchi Yuta Department of Vascular Surgery, International University of Health and Welfare Mita Hospital, Tokyo, Japan aut Origuchi Nobuto Department of Vascular Surgery, International University of Health and Welfare Mita Hospital, Tokyo, Japan aut Obitsu Yukio Department of Vascular Surgery, International University of Health and Welfare Mita Hospital, Tokyo, Japan aut Kitajima Masaki Department of Gastroenterological Surgery, International University of Health and Welfare Mita Hospital, Mita 1-4-3, Minato-ku, 108-8329, Tokyo, Japan aut Esophagus Springer Japan 12/1(2015-01-01), 73-76 1612-9059 12:1<73 2015 12 10388 https://doi.org/10.1007/s10388-013-0406-4 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10388-013-0406-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kubota Keisuke Department of Gastroenterological Surgery, International University of Health and Welfare Mita Hospital, Mita 1-4-3, Minato-ku, 108-8329, Tokyo, Japan aut NATIONALLICENCE 700 1- Okada Akihiro Department of Gastroenterological Surgery, International University of Health and Welfare Mita Hospital, Mita 1-4-3, Minato-ku, 108-8329, Tokyo, Japan aut NATIONALLICENCE 700 1- Kuroda Junko Department of Gastroenterological Surgery, International University of Health and Welfare Mita Hospital, Mita 1-4-3, Minato-ku, 108-8329, Tokyo, Japan aut NATIONALLICENCE 700 1- Yoshida Masashi Department of Gastroenterological Surgery, International University of Health and Welfare Mita Hospital, Mita 1-4-3, Minato-ku, 108-8329, Tokyo, Japan aut NATIONALLICENCE 700 1- Horiguchi Yuta Department of Vascular Surgery, International University of Health and Welfare Mita Hospital, Tokyo, Japan aut NATIONALLICENCE 700 1- Origuchi Nobuto Department of Vascular Surgery, International University of Health and Welfare Mita Hospital, Tokyo, Japan aut NATIONALLICENCE 700 1- Obitsu Yukio Department of Vascular Surgery, International University of Health and Welfare Mita Hospital, Tokyo, Japan aut NATIONALLICENCE 700 1- Kitajima Masaki Department of Gastroenterological Surgery, International University of Health and Welfare Mita Hospital, Mita 1-4-3, Minato-ku, 108-8329, Tokyo, Japan aut NATIONALLICENCE 773 0- Esophagus Springer Japan 12/1(2015-01-01), 73-76 1612-9059 12:1<73 2015 12 10388