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Beware of gastric tube in esophagectomy after gastric radiotherapy: A case report
BACKGROUND: Gastric tube formation and pull-up is the most common technique of reconstruction following esophagectomy for esophageal cancer. If previous treatment with radiotherapy for gastric mucosa-associated lymphoid tissue (MALT)-lymphoma restricts suitability of the stomach for anastomosis to t...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9258348/ https://www.ncbi.nlm.nih.gov/pubmed/35979123 http://dx.doi.org/10.12998/wjcc.v10.i17.5854 |
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author | Yurttas, Can Wichmann, Doerte Gani, Cihan Bongers, Malte N Singer, Stephan Thiel, Christian Koenigsrainer, Alfred Thiel, Karolin |
author_facet | Yurttas, Can Wichmann, Doerte Gani, Cihan Bongers, Malte N Singer, Stephan Thiel, Christian Koenigsrainer, Alfred Thiel, Karolin |
author_sort | Yurttas, Can |
collection | PubMed |
description | BACKGROUND: Gastric tube formation and pull-up is the most common technique of reconstruction following esophagectomy for esophageal cancer. If previous treatment with radiotherapy for gastric mucosa-associated lymphoid tissue (MALT)-lymphoma restricts suitability of the stomach for anastomosis to the esophagus is unknown. CASE SUMMARY: A 57-year-old man underwent sequential chemotherapy and radiotherapy for gastric MALT-lymphoma seven years prior to diagnosis of esophageal adenocarcinoma. Esophagectomy without neoadjuvant treatment was recommended by the multidisciplinary tumor board due to early tumor stage [uT1 (sm2) uN+ cM0 according to TNM-classification of malignant tumors, 8(th )edition] without lymph node involvement. Minimal invasive esophageal resection with esophagogastrostomy was performed. Due to gastric tube necrosis with anastomotic leakage on the twelfth postoperative day, diverting resection with construction of a cervical salivary fistula was necessary. Rapid recovery facilitated colonic interposition without any complications six months afterwards. CONCLUSION: This case report may represent the start for further investigation to know if it is reasonable to refrain from esophagogastrostomy in patients with a long interval between gastric radiotherapy and surgery. |
format | Online Article Text |
id | pubmed-9258348 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-92583482022-08-16 Beware of gastric tube in esophagectomy after gastric radiotherapy: A case report Yurttas, Can Wichmann, Doerte Gani, Cihan Bongers, Malte N Singer, Stephan Thiel, Christian Koenigsrainer, Alfred Thiel, Karolin World J Clin Cases Case Report BACKGROUND: Gastric tube formation and pull-up is the most common technique of reconstruction following esophagectomy for esophageal cancer. If previous treatment with radiotherapy for gastric mucosa-associated lymphoid tissue (MALT)-lymphoma restricts suitability of the stomach for anastomosis to the esophagus is unknown. CASE SUMMARY: A 57-year-old man underwent sequential chemotherapy and radiotherapy for gastric MALT-lymphoma seven years prior to diagnosis of esophageal adenocarcinoma. Esophagectomy without neoadjuvant treatment was recommended by the multidisciplinary tumor board due to early tumor stage [uT1 (sm2) uN+ cM0 according to TNM-classification of malignant tumors, 8(th )edition] without lymph node involvement. Minimal invasive esophageal resection with esophagogastrostomy was performed. Due to gastric tube necrosis with anastomotic leakage on the twelfth postoperative day, diverting resection with construction of a cervical salivary fistula was necessary. Rapid recovery facilitated colonic interposition without any complications six months afterwards. CONCLUSION: This case report may represent the start for further investigation to know if it is reasonable to refrain from esophagogastrostomy in patients with a long interval between gastric radiotherapy and surgery. Baishideng Publishing Group Inc 2022-06-16 2022-06-16 /pmc/articles/PMC9258348/ /pubmed/35979123 http://dx.doi.org/10.12998/wjcc.v10.i17.5854 Text en ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/ |
spellingShingle | Case Report Yurttas, Can Wichmann, Doerte Gani, Cihan Bongers, Malte N Singer, Stephan Thiel, Christian Koenigsrainer, Alfred Thiel, Karolin Beware of gastric tube in esophagectomy after gastric radiotherapy: A case report |
title | Beware of gastric tube in esophagectomy after gastric radiotherapy: A case report |
title_full | Beware of gastric tube in esophagectomy after gastric radiotherapy: A case report |
title_fullStr | Beware of gastric tube in esophagectomy after gastric radiotherapy: A case report |
title_full_unstemmed | Beware of gastric tube in esophagectomy after gastric radiotherapy: A case report |
title_short | Beware of gastric tube in esophagectomy after gastric radiotherapy: A case report |
title_sort | beware of gastric tube in esophagectomy after gastric radiotherapy: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9258348/ https://www.ncbi.nlm.nih.gov/pubmed/35979123 http://dx.doi.org/10.12998/wjcc.v10.i17.5854 |
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