Tracheal compression by the gastric tube in esophageal cancer with ankylosing spondylitis and an analysis of the mediastinal condition in 84 cases of esophagectomy: report a case

Pneumonia, recurrent nerve injury and anastomotic leakage are common complications occurring after esophagectomy. However, there have so far been few reports on tracheal compression by the gastric tube. The patient was a 66-year-old female with a history of ankylosing spondylitis and esophageal supe...

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Published inSurgery today (Tokyo, Japan) Vol. 43; no. 9; pp. 1071 - 1074
Main Authors Ikeda, Norimasa, Akutsu, Yasunori, Shuto, Kiyohiko, Tohma, Takayuki, Matsubara, Hisahiro
Format Journal Article
LanguageEnglish
Published Tokyo Springer Japan 01.09.2013
Subjects
Aged
Airway Obstruction - etiology
Carcinoma, Squamous Cell - surgery
Case Report
Esophageal Neoplasms - surgery
Esophagectomy - methods
Esophagoscopy
Female
Humans
Intubation, Gastrointestinal - adverse effects
Mediastinum - surgery
Medicine
Medicine & Public Health
Pleura - surgery
Postoperative Complications - etiology
Spine - abnormalities
Spondylitis, Ankylosing - complications
Stents
Sternum - abnormalities
Surgery
Surgical Oncology
Thoracotomy - methods
Tracheal Stenosis - etiology
Treatment Outcome
Bronchoscopy
Gastric tube reconstruction
Transhiatal esophagectomy
Tracheal compression
Ankylosing spondylitis
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Summary:Pneumonia, recurrent nerve injury and anastomotic leakage are common complications occurring after esophagectomy. However, there have so far been few reports on tracheal compression by the gastric tube. The patient was a 66-year-old female with a history of ankylosing spondylitis and esophageal superficial squamous carcinoma treated with endoscopic mucosal resection. The new lesion was located just next to the last treated lesion. Therefore, it was difficult to treat this lesion endoscopically because of severe stenosis and scarring due to the previous treatment. Transhiatal esophagectomy was therefore performed. However, severe tracheal obstruction occurred following extubation after the surgery due to compression caused by the gastric tube. This case was successfully treated with a mediastinal pleural incision through a right thoracotomy. The distance between the sternum and the vertebra in this case was narrower than normal, thereby inducing this rare condition.
Bibliography:ObjectType-Case Study-3
SourceType-Scholarly Journals-1
content type line 23
ObjectType-Review-1
ObjectType-Feature-5
ObjectType-Report-2
ObjectType-Article-4
ISSN:0941-1291
1436-2813
DOI:10.1007/s00595-012-0275-9