Intrathoracic leak after an Ivor Lewis procedure for an esophageal neoplasm treated with a stent

A 75-year-old male who underwent an Ivor Lewis esophagectomy due to a distal adenocarcinoma had a leak at the gastroplasty on the 5th day after surgery, which required two surgeries and a primary suture. He was transferred to our hospital due to a poor outcome and endoscopy revealed a 2.5cm gap peri...

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Published inRevista española de enfermedades digestivas Vol. 110; no. 4; pp. 267 - 268
Main Authors Afonso Luis, Natalia, Acosta Mérida, María Asunción, Marchena Gómez, Joaquín
Format Journal Article
LanguageEnglish
Spanish
Published Spain Sociedad Espanola de Patologia Digestivas 01.04.2018
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Summary:A 75-year-old male who underwent an Ivor Lewis esophagectomy due to a distal adenocarcinoma had a leak at the gastroplasty on the 5th day after surgery, which required two surgeries and a primary suture. He was transferred to our hospital due to a poor outcome and endoscopy revealed a 2.5cm gap perianastomotically on the gastroplasty wall, for which a stent was placed. Due to hemodynamic impairment, a thoracotomy procedure was performed, which revealed stent protrusion into the cavity. The patient underwent an esophagogastric anastomosis resection, cervical esophagostomy and gastrostomy. Sepsis was resolved postoperatively and the patient had a protracted stay in the PACU due to poor respiratory dynamics following a prolonged intubation.
Bibliography:ObjectType-Case Study-2
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ISSN:1130-0108
DOI:10.17235/reed.2018.5161/2017