J Korean Dysphagia Soc.  2019 Jul;9(2):89-92. 10.34160/jkds.2019.9.2.006.

A Man with Dysphagia after Cervical Esophagogastrostomy: A Case Report

• Sung WJ
• Hong BY
• Kim JS
• Lee JJ
• Yoo JW
• Lim SH

• KMID: 2455056
• DOI: http://doi.org/10.34160/jkds.2019.9.2.006

Abstract

Dysphagia caused by a functional gastric outlet obstruction is rare and the natural course of a functional gastric outlet obstruction is unclear. This paper reports a patient with dysphagia and a functional gastric outlet obstruction after a cervical esophagogastrostomy. A 62-year-old man with a history of esophageal cancer and cervical esophagogastrostomy presented with dysphagia and discomfort during meals. A videofluoroscopic swallowing study (VFSS) with barium revealed a mild increase in the post-swallow remnants and delayed emptying of the gastric outlet, reflecting a functional gastric outlet obstruction at the diaphragm. One month later, VFSS revealed a worsened functional gastric outlet obstruction at the diaphragm. A delayed chest X-ray showed worsened delayed emptying of the gastric outlet. A cervical esophagogastrostomy for early esophageal cancer can cause functional gastric outlet obstruction, presenting as dysphagia and discomfort during meals. Physicians should be concerned about dysphagia and the functional changes in the esophagus in patients with a cervical esophagogastrostomy.

Keyword

Esophageal cancer; Cervical esophagogastrostomy; Dysphagia; Gastric outlet obstruction; Hypertensive peristalsis

MeSH Terms

Barium
Deglutition
Deglutition Disorders*
Diaphragm
Esophageal Neoplasms
Esophagus
Gastric Outlet Obstruction
Humans
Meals
Middle Aged
Thorax
Barium