Autor: |
Afonso Luis N; Cirugía General y del Aparato Digestivo, Hospital Dr. Negrín Las Palmas de Gran Canaria, España., Acosta Mérida MA; Cirugía General y del Aparato Digestivo, Hospital Universitario de Gran Canaria Doctor Negrín, España., Marchena Gómez J; Cirugía General y del Aparato Digestivo, Hospital Universitario de Gran Canaria Doctor Negrín, España. |
Jazyk: |
angličtina |
Zdroj: |
Revista espanola de enfermedades digestivas [Rev Esp Enferm Dig] 2018 Apr; Vol. 110 (4), pp. 267-268. |
DOI: |
10.17235/reed.2018.5161/2017 |
Abstrakt: |
A 75-year-old male who underwent an Ivor Lewis esophagectomy due to a distal adenocarcinoma had a leak at the gastroplasty on the 5th day after surgery, which required two surgeries and a primary suture. He was transferred to our hospital due to a poor outcome and endoscopy revealed a 2.5cm gap perianastomotically on the gastroplasty wall, for which a stent was placed. Due to hemodynamic impairment, a thoracotomy procedure was performed, which revealed stent protrusion into the cavity. The patient underwent an esophagogastric anastomosis resection, cervical esophagostomy and gastrostomy. Sepsis was resolved postoperatively and the patient had a protracted stay in the PACU due to poor respiratory dynamics following a prolonged intubation. |
Databáze: |
MEDLINE |
Externí odkaz: |
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