Published in:
01-02-2019 | GI Image
Esophageal Adenocarcinoma Lymphatic Drainage with ICG Fluorescence Imaging
Authors:
Francisco Schlottmann, Marco G. Patti
Published in:
Journal of Gastrointestinal Surgery
|
Issue 2/2019
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Excerpt
A 55-year-old man with history of gastroesophageal reflux disease for 20 years underwent an upper endoscopy, which showed esophageal mucosal changes consistent with Barrett’s esophagus, and nodularity at 38 cm at the 3 o’clock position. The pathology report showed a moderately differentiated esophageal adenocarcinoma. The endoscopic ultrasound failed to identify lymph node involvement. Endoscopic mucosal resection was performed, but the specimen showed cancer cells at the resection margins. We decided to perform an Ivor Lewis esophagectomy with assessment of the lymphatic drainage of the tumor with fluorescence imaging. …