Two-stage esophagojejunal anastomosis: An alternative reconstruction in emergency gastrectomy for high-risk gastric cancer patients

Autor: Eduardo Pizarro, Rodrigo Vallejos, Enrique Norero, Alfonso Diaz, Marco Ceroni
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: SAGE Open Medical Case Reports, Vol 10 (2022)
Druh dokumentu: article
ISSN: 2050-313X
2050313X
DOI: 10.1177/2050313X211066226
Popis: Emergency total gastrectomy for patients with gastric cancer who are in shock carries a high risk of esophagojejunal anastomosis leakage. No alternatives have been reported to reduce this risk. This study reports two patients with gastric cancer who were in shock and underwent emergency gastrectomy and two-stage esophagojejunal anastomosis with good results. In the first stage, immediately after gastrectomy, the esophagus was attached to a Roux-en-Y jejunal loop that prevented retraction of the esophagus into the mediastinum. In the second stage, in a second surgery, the esophagojejunal anastomosis was completed under better clinical conditions.
Databáze: Directory of Open Access Journals