Clin Exp Otorhinolaryngol.  2016 Dec;9(4):382-384. 10.21053/ceo.2015.00724.

Esophageal Stent Insertion for Postesophagectomy Anastomosis Site Leakage

• Kim SY
• Kang CH
• Park IK
• Kim YT

• KMID: 2360772
• DOI: http://doi.org/10.21053/ceo.2015.00724

Abstract

In Ivor Lewis operation, anastomosis site leakage is a critical complication. Interventional approach utilizing covered metal stent has been introduced for the management of this complication. This patient was diagnosed as esophageal cancer and underwent robot-assisted Ivor Lewis operation. Due to symptoms suggesting anastomosis site leakage, video-assisted thoracoscopic surgery exploration was performed without identification of gross leakage site. On esophagogastroduodenoscopy, anastomosis site leakage was detected and esophageal stent was placed. Four weeks later, the stent was removed, and the patient could intake all his diet orally without discomfort. Esophageal stent insertion can be an option to manage postesophagectomy leakage problem.

Keyword

Stents; Anastomotic Leak; Esophagectomy; Postoperative Complications; Esophageal Neoplasms

MeSH Terms

Anastomotic Leak
Diet
Endoscopy, Digestive System
Esophageal Neoplasms
Esophagectomy
Humans
Postoperative Complications
Stents*
Thoracic Surgery, Video-Assisted

Figure

• 

  Fig. 1. (A) Esophageal leakage tube on esophagogastroduodenoscopy before stent insertion. (B) Deployed esophageal stent. (C) Healed esophageal leakage site after removal of esophageal stent.

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  Fig. 2. Esophagogram before retrieval of esophageal stent. There was no visible leakage in the esophagogram.

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