Abstract
Oesophagectomy for malignant oesophageal cancer is potentially a morbid procedure with pulmonary, cardiovascular and anastomotic leak the most concerning complications. We present two patients with conduit leak, caused by a nasogastric tube (NGT) perforation of the distal gastric conduit, successfully treated endoscopically with an over the scope clip (Ovesco, Endotheraputics, Sydney, Australia). Prospective record of the treating oesophageal surgical consultant was extracted for this report. Illustrations were prospectively stored on a password protected computer. Perforation of the oesophagogastric conduit by the nasogastric tube following oesophageal reconstruction is unreported in the literature. The use of a novel technique of endoscopic ‘ovesco’ clip greatly reduced the potential morbidity of reoperation in two cases that presented masquerading as an anastomotic leak.
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All authors (DPM, SY and GLF) substantial contributions to conception and design, acquisition of data, or analysis and interpretation of data; drafting the article or revising it critically for important intellectual content; and final approval of the version to be published.
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Prospective patient data was collated from a password protected practise data base and collated for publication. The data base was approved by the institutional ethics (CH62/6/2011–092).
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This article is part of the Topical Collection on Surgery
Main novel aspects:
• Perforation of the oesophagogastric conduit by the nasogastric tube following oesophageal reconstruction is unreported in the literature.
• The use of a novel technique of endoscopic ‘ovesco’ clip greatly reduced the potential morbidity of reoperation in two cases that presented masquerading as an anastomotic leak
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Mitchell, D.P., Yeluri, S. & Falk, G.L. Nasogastric Perforation of Post-Oesophagectomy Conduit: Successful Ovesco Clip Salvage “Case Report”. SN Compr. Clin. Med. 2, 1255–1257 (2020). https://doi.org/10.1007/s42399-020-00362-5
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DOI: https://doi.org/10.1007/s42399-020-00362-5