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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...

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Autores principales: Liang, Diana H., Meisenbach, Leonora M., Kim, Min P., Chan, Edward Y., Khaitan, Puja Gaur
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
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.
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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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