Cargando…

Oesophageal reconstruction with a reversed gastric conduit for a complex oesophageal cancer patient: a case report

BACKGROUND: The gastric conduit is the best replacement organ for oesophageal reconstruction, but a reversed gastric conduit (RGC) is rare. Oesophageal reconstruction for oesophageal cancer patients with a previous history of complicated gastrointestinal surgery is rather difficult. Here, we report...

Descripción completa

Detalles Bibliográficos
Autores principales: Yang, Yanbo, Ma, Lin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9188175/
https://www.ncbi.nlm.nih.gov/pubmed/35690775
http://dx.doi.org/10.1186/s12893-022-01630-y
_version_ 1784725316905730048
author Yang, Yanbo
Ma, Lin
author_facet Yang, Yanbo
Ma, Lin
author_sort Yang, Yanbo
collection PubMed
description BACKGROUND: The gastric conduit is the best replacement organ for oesophageal reconstruction, but a reversed gastric conduit (RGC) is rare. Oesophageal reconstruction for oesophageal cancer patients with a previous history of complicated gastrointestinal surgery is rather difficult. Here, we report a case in which oesophageal reconstruction was successfully managed using RGC based solely on the left gastroepiploic artery supply. CASE PRESENTATION: A 69-year-old man with oesophageal cancer had a history of endoscopic intestinal polypectomy and pylorus-preserving pancreaticoduodenectomy (PPPD). The right gastroepiploic artery and right gastric artery had been completely severed. The only supply artery that could be used for the gastric conduit was just the left gastroepiploic artery. Because of the complex history of abdominal surgery, we had no choice but to use the RGC to complete the oesophageal reconstruction, in which the gastric conduit was passed reversely through the hiatus to the oesophageal bed and layered end-to-side manual intrathoracic anastomosis with the esophagus. The patient had transient feeding problems with postoperative delayed thoracic stomach emptying but no anastomotic stenosis or thoracic stomach fistula. He was satisfied with his life and had no long-term complications. There was no significant effect on gut physiological function, and RGC could work normally. CONCLUSIONS: Oesophageal reconstruction with RGC is a feasible procedure for complex oesophageal carcinoma that can simplify complicated surgical procedures, has less influence on gut function, is less invasive, and is safe.
format Online
Article
Text
id pubmed-9188175
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-91881752022-06-12 Oesophageal reconstruction with a reversed gastric conduit for a complex oesophageal cancer patient: a case report Yang, Yanbo Ma, Lin BMC Surg Case Report BACKGROUND: The gastric conduit is the best replacement organ for oesophageal reconstruction, but a reversed gastric conduit (RGC) is rare. Oesophageal reconstruction for oesophageal cancer patients with a previous history of complicated gastrointestinal surgery is rather difficult. Here, we report a case in which oesophageal reconstruction was successfully managed using RGC based solely on the left gastroepiploic artery supply. CASE PRESENTATION: A 69-year-old man with oesophageal cancer had a history of endoscopic intestinal polypectomy and pylorus-preserving pancreaticoduodenectomy (PPPD). The right gastroepiploic artery and right gastric artery had been completely severed. The only supply artery that could be used for the gastric conduit was just the left gastroepiploic artery. Because of the complex history of abdominal surgery, we had no choice but to use the RGC to complete the oesophageal reconstruction, in which the gastric conduit was passed reversely through the hiatus to the oesophageal bed and layered end-to-side manual intrathoracic anastomosis with the esophagus. The patient had transient feeding problems with postoperative delayed thoracic stomach emptying but no anastomotic stenosis or thoracic stomach fistula. He was satisfied with his life and had no long-term complications. There was no significant effect on gut physiological function, and RGC could work normally. CONCLUSIONS: Oesophageal reconstruction with RGC is a feasible procedure for complex oesophageal carcinoma that can simplify complicated surgical procedures, has less influence on gut function, is less invasive, and is safe. BioMed Central 2022-06-11 /pmc/articles/PMC9188175/ /pubmed/35690775 http://dx.doi.org/10.1186/s12893-022-01630-y Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Yang, Yanbo
Ma, Lin
Oesophageal reconstruction with a reversed gastric conduit for a complex oesophageal cancer patient: a case report
title Oesophageal reconstruction with a reversed gastric conduit for a complex oesophageal cancer patient: a case report
title_full Oesophageal reconstruction with a reversed gastric conduit for a complex oesophageal cancer patient: a case report
title_fullStr Oesophageal reconstruction with a reversed gastric conduit for a complex oesophageal cancer patient: a case report
title_full_unstemmed Oesophageal reconstruction with a reversed gastric conduit for a complex oesophageal cancer patient: a case report
title_short Oesophageal reconstruction with a reversed gastric conduit for a complex oesophageal cancer patient: a case report
title_sort oesophageal reconstruction with a reversed gastric conduit for a complex oesophageal cancer patient: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9188175/
https://www.ncbi.nlm.nih.gov/pubmed/35690775
http://dx.doi.org/10.1186/s12893-022-01630-y
work_keys_str_mv AT yangyanbo oesophagealreconstructionwithareversedgastricconduitforacomplexoesophagealcancerpatientacasereport
AT malin oesophagealreconstructionwithareversedgastricconduitforacomplexoesophagealcancerpatientacasereport