Anastomotic dehiscence after esophagogastrectomy treated with stent and tissue matrix graft
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Dehiscence of the esophagogastric anastomosis remains a rare but feared complication following esophagectomy for esophageal cancer. Postoperative anastomotic leaks occur in 3–18 % of patients who undergo esophagectomy [1, 2, 3, 4], with complete or near-complete anastomotic dehiscence occurring in 1 % . Here we report a unique case of successful closure of a near-complete anastomotic dehiscence following an Ivor–Lewis esophagectomy utilizing a combination of endoscopic and surgical techniques.
The patient was a 68-year-old man who presented with solid-food dysphagia and was subsequently diagnosed with esophageal adenocarcinoma. Cancer staging using combined PET/CT imaging and EUS revealed a T2N0 distal esophageal lesion and an additional FDG-avid lesion in the left lung, initially thought to be metastatic disease. CT-guided biopsy was performed and histology demonstrated a synchronous non-small-cell lung cancer in his left lung. Attention was focused initially on his...
KeywordsEsophageal Cancer Anastomotic Leak Esophagogastric Anastomosis Abdominal Wall Reconstruction Postoperative Anastomotic Leak
Todd H. Baron received research support from Cook Endoscopy, Winston-Salem, NC. Johan C. Bakken, Ryan Law, and Dennis Wigle have no conflicts of interest or financial ties to disclose.
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