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Journal of Cardiothoracic Surgery
Published in: Journal of Cardiothoracic Surgery 1/2017

Open Access 01-12-2017 | Case report

Management of gastric conduit dehiscence with self-expanding metal stents: a case report on salvaging the gastric conduit

Authors: Diana H. Liang, Leonora M. Meisenbach, Min P. Kim, Edward Y. Chan, Puja Gaur Khaitan

Published in: Journal of Cardiothoracic Surgery | Issue 1/2017

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Abstract

Background

Three-hole minimally invasive esophagectomy (3HMIE) is one of the most radical procedures in gastrointestinal surgery. It involves thoracoscopic dissection of the esophagus followed by creation of a gastric conduit in the abdomen with anastomosis in the neck, and is associated with significant morbidity. Gastric conduit dehiscence is one of the most morbid complications following esophagectomy. Historically, the standard of care in this situation has been conduit diversion with delayed esophageal reconstruction.

Case presentation

Here, we report two patients with a timely diagnosis of gastric conduit dehiscence of staple line after 3HMIE who were salvaged successfully with endoscopic placement of self-expanding metal stents.

Conclusion

Endoscopic stents may be used in selected cases of gastric conduit dehiscence after 3HMIE to salvage the conduit.
Literature
1.
Dickinson KJ, Blackmon SH. Management of conduit necrosis following esophagectomy. Thorac Surg Clin. 2015;25:461–70.CrossRefPubMed
2.
Oshikiri T, Yamamoto Y, Miki I, et al. Conservative reconstruction using stents as salvage therapy for disruption of esophago-gastric anastomosis. World J Gastroenterol. 2015;21:8723–9.CrossRefPubMedPubMedCentral
Metadata
Title
Management of gastric conduit dehiscence with self-expanding metal stents: a case report on salvaging the gastric conduit
Authors
Diana H. Liang
Leonora M. Meisenbach
Min P. Kim
Edward Y. Chan
Puja Gaur Khaitan
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Journal of Cardiothoracic Surgery / Issue 1/2017
Electronic ISSN: 1749-8090
DOI
https://doi.org/10.1186/s13019-017-0570-z

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