Surgical Endoscopy

, Volume 27, Issue 11, pp 4383–4384 | Cite as

Anastomotic dehiscence after esophagogastrectomy treated with stent and tissue matrix graft

  • Johan C. Bakken
  • Ryan LawEmail author
  • Dennis Wigle
  • Todd H. Baron

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 % [5]. 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.

Case report

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...


Esophageal Cancer Anastomotic Leak Esophagogastric Anastomosis Abdominal Wall Reconstruction Postoperative Anastomotic Leak 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



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.

Supplementary material

Supplementary material 1 (MP4 77,411 kb)


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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Johan C. Bakken
    • 1
  • Ryan Law
    • 1
    Email author
  • Dennis Wigle
    • 2
  • Todd H. Baron
    • 1
  1. 1.Division of Gastroenterology and HepatologyMayo ClinicRochesterUSA
  2. 2.Division of General Thoracic SurgeryMayo ClinicRochesterUSA

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