Gastric conduit reconstruction after esophagectomy with right gastroepiploic artery absence: a case report-Reference-Cited by-全球学者库

Gastric conduit reconstruction after esophagectomy with right gastroepiploic artery absence: a case report

Published:2023-08 Issue:8 Volume:2023 Page:
ISSN:2042-8812
Container-title:Journal of Surgical Case Reports
language:en
Short-container-title:

Author:

Charalampous C¹^ORCID,Kofopoulos-Lymperis E¹,Pikouli A¹,Lykoudis P¹,Pararas N¹,Papaconstantinou D¹,Nastos C¹,Myoteri D²,Dellaportas D¹

Affiliation:

1. 3rd Department of Surgery, National and Kapodistrian University of Athens, Attikon University Hospital , Athens , Greece

2. Pathology Department, National and Kapodistrian University of Athens, Aretaieion University Hospital , Athens , Greece

Abstract

Abstract Gastric conduit reconstruction is the standard choice after esophagectomy. Conduit’s vascular supply is of primary importance mainly based on right gastroepiploic vessels. A 57-year-old male with absent right gastroepiploic artery, due to a duodenal bleeding ulcer treated with gastroduodenal artery ligation 10 years ago, was treated for gastroesophageal cancer and required esophagectomy. Surgical merits of this troublesome scenario are highlighted. Previous surgical history is highly important for patients requiring complex surgery as esophagectomy. The use of the stomach as conduit after esophagectomy is always the primary option; however vascular supply of it should not be compromised. Variations are rare and careful planning may overcome obstacles as in this case.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Link

https://academic.oup.com/jscr/article-pdf/2023/8/rjad474/51109038/rjad474.pdf

Reference14 articles.

1. Use of the stomach as an esophageal substitute;Akiyama;Ann Surg,1978

2. Ischemic conditioning of the stomach in the prevention of Esophagogastric anastomotic leakage after Esophagectomy;Kechagias;Ann Thorac Surg,2016

3. Esophageal replacement: gastric tube or whole stomach?;Collard;Ann Thorac Surg,1995

4. Treatment approaches to esophagogastric junction tumors;Kurokawa;Dig Surg,2013