Laparoscopic management of obstructed gastric conduit after minimally invasive esophagectomy

Ann Thorac Surg. 2014 May;97(5):e145-6. doi: 10.1016/j.athoracsur.2013.11.082.

Abstract

We describe a novel, minimally invasive method of managing an obstructed gastric conduit after minimally invasive esophagectomy. In addition, we briefly review the management of obstructed gastric conduit in patients status-post minimally invasive esophagectomy. On literature review, it was noted that gastrojejunostomy after esophagectomy was exceptionally rare. Only one other reported case of gastrojejunostomy after esophagectomy was found in the literature. This is the first reported case to our knowledge of laparoscopic gastrojejunostomy after minimally invasive esophagectomy (MIE). Laparoscopic gastrojejunostomy after minimally invasive esophagectomy for obstructed gastric conduit is technically feasible, and it effectively managed the obstruction in our patient.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adenocarcinoma / diagnosis
  • Adenocarcinoma / surgery*
  • Anastomosis, Surgical / adverse effects
  • Anastomosis, Surgical / methods
  • Constriction, Pathologic / pathology
  • Constriction, Pathologic / surgery
  • Esophageal Neoplasms / diagnosis
  • Esophageal Neoplasms / surgery*
  • Esophagectomy / methods
  • Esophagogastric Junction / pathology
  • Esophagogastric Junction / surgery*
  • Follow-Up Studies
  • Gastric Bypass / methods*
  • Humans
  • Laparoscopy / methods*
  • Male
  • Middle Aged
  • Minimally Invasive Surgical Procedures / methods
  • Risk Assessment
  • Treatment Outcome