دورية أكاديمية
Anastomotic leakage after esophagectomy possibly caused by compression of the gastric conduit behind the sternoclavicular joint: a report of three cases
| العنوان: | Anastomotic leakage after esophagectomy possibly caused by compression of the gastric conduit behind the sternoclavicular joint: a report of three cases |
|---|---|
| المؤلفون: | Yasunori Kurahashi, Yudai Hojo, Tatsuro Nakamura, Tsutomu Kumamoto, Yoshinori Ishida, Hisashi Shinohara |
| المصدر: | Surgical Case Reports, Vol 7, Iss 1, Pp 1-5 (2021) |
| بيانات النشر: | SpringerOpen, 2021. |
| سنة النشر: | 2021 |
| المجموعة: | LCC:Surgery |
| مصطلحات موضوعية: | Esophagectomy, Anastomotic leakage, Sternoclavicular joint, Compression, Indocyanine green fluorescence imaging, Surgery, RD1-811 |
| الوصف: | Abstract Background The narrowness of the thoracic inlet is often a problem in retrosternal reconstruction after esophagectomy. We report here three cases in which compression of the gastric conduit behind the sternoclavicular joint possibly caused anastomotic leakage. Case presentations The first case was a 71-year-old man who underwent subtotal esophagectomy for upper esophageal cancer followed by retrosternal reconstruction. On postoperative day 2, he developed septic shock and underwent reoperation because of a necrotic gastric conduit. The tip of the conduit above the manubrium was necrotic due to strangulation as a result of compression by the sternoclavicular joint. The second and third cases were a 50-year-old woman and a 71-year-old man who underwent subtotal esophagectomy for middle and lower esophageal cancer, respectively, followed by retrosternal reconstruction. Despite indocyanine green fluorescence imaging indicating adequate blood flow in both cases, the tip of the conduit appeared pale and congested because of compression by the sternoclavicular joint after anastomosis. Postoperatively, these two patients developed anastomotic leakage that was confirmed endoscopically on the ventral side of the gastric wall that had been pale intraoperatively. Conclusions When performing reconstruction using the retrosternal route after esophagectomy, it is important to ensure that compression by the sternoclavicular joint does not have an adverse impact on blood flow at the tip of the gastric conduit. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2198-7793 66613434 |
| Relation: | https://doaj.org/toc/2198-7793 |
| DOI: | 10.1186/s40792-021-01250-3 |
| URL الوصول: | https://doaj.org/article/2b5544141e0b47aeb12a66613434786c |
| رقم الأكسشن: | edsdoj.2b5544141e0b47aeb12a66613434786c |
| قاعدة البيانات: | Directory of Open Access Journals |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 21987793 66613434 |
|---|---|
| DOI: | 10.1186/s40792-021-01250-3 |