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Management of gastric conduit dehiscence with self-expanding metal stents: a case report on salvaging the gastric conduit
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 signi...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5264455/ https://www.ncbi.nlm.nih.gov/pubmed/28122632 http://dx.doi.org/10.1186/s13019-017-0570-z |
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author | Liang, Diana H. Meisenbach, Leonora M. Kim, Min P. Chan, Edward Y. Khaitan, Puja Gaur |
author_facet | Liang, Diana H. Meisenbach, Leonora M. Kim, Min P. Chan, Edward Y. Khaitan, Puja Gaur |
author_sort | Liang, Diana H. |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-5264455 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-52644552017-01-30 Management of gastric conduit dehiscence with self-expanding metal stents: a case report on salvaging the gastric conduit Liang, Diana H. Meisenbach, Leonora M. Kim, Min P. Chan, Edward Y. Khaitan, Puja Gaur J Cardiothorac Surg Case Report 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. BioMed Central 2017-01-25 /pmc/articles/PMC5264455/ /pubmed/28122632 http://dx.doi.org/10.1186/s13019-017-0570-z Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Case Report Liang, Diana H. Meisenbach, Leonora M. Kim, Min P. Chan, Edward Y. Khaitan, Puja Gaur Management of gastric conduit dehiscence with self-expanding metal stents: a case report on salvaging the gastric conduit |
title | Management of gastric conduit dehiscence with self-expanding metal stents: a case report on salvaging the gastric conduit |
title_full | Management of gastric conduit dehiscence with self-expanding metal stents: a case report on salvaging the gastric conduit |
title_fullStr | Management of gastric conduit dehiscence with self-expanding metal stents: a case report on salvaging the gastric conduit |
title_full_unstemmed | Management of gastric conduit dehiscence with self-expanding metal stents: a case report on salvaging the gastric conduit |
title_short | Management of gastric conduit dehiscence with self-expanding metal stents: a case report on salvaging the gastric conduit |
title_sort | management of gastric conduit dehiscence with self-expanding metal stents: a case report on salvaging the gastric conduit |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5264455/ https://www.ncbi.nlm.nih.gov/pubmed/28122632 http://dx.doi.org/10.1186/s13019-017-0570-z |
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