Digestive Reconstruction After Pharyngolaryngectomy with Total Esophagectomy

We present a case with penile and intramuscular metastases of esophageal squamous cell carcinoma. A 61-year-old male had undergone a total esophagectomy and later developed metastatic nodules of the penis and intramuscular metastasis of the thigh. We believe this is the first report of this rare case. We describe the clinical manifestation and offer therapeutic regimen; we also summarize the relevant literature.

Download Full-text

Dysphagia after Colon Interposition Graft for Esophageal Carcinoma

Case Reports in Pathology ◽

10.1155/2012/738205 ◽

2012 ◽

Vol 2012 ◽

pp. 1-5

Author(s):

C. Spitali ◽

K. De Vogelaere ◽

G. Delvaux

Keyword(s):

Esophageal Carcinoma ◽

Colon Interposition ◽

Barrett Esophagus ◽

Primary Adenocarcinoma ◽

Esophageal Reconstruction ◽

Colonic Interposition ◽

Interposition Graft ◽

Total Esophagectomy ◽

Established Technique

Colon interposition is an established technique for esophageal reconstruction. We describe the case of primary adenocarcinoma arising in a colonic interposition graft that was performed after total esophagectomy for recurrence adenocarcinoma derived from the Barrett esophagus.

Download Full-text

Gastric tube volvulus following an Ivor–Lewis esophagectomy

Annals of The Royal College of Surgeons of England ◽

10.1308/rcsann.2018.0146 ◽

2019 ◽

Vol 101 (1) ◽

pp. e1-e4 ◽

Cited By ~ 2

Author(s):

D Schizas ◽

A Michalinos ◽

C Vergadis ◽

D Oikonomou ◽

E Baili ◽

...

Keyword(s):

Computed Tomography ◽

Gastric Tube ◽

English Literature ◽

Gastric Conduit ◽

Ivor Lewis ◽

Long Survival ◽

Ivor Lewis Esophagectomy ◽

Fourth Case ◽

Total Esophagectomy ◽

Rare Situation

Gastric tube conduit is the method of choice for restoring continuity of the digestive track after a partial or total esophagectomy. Redundant gastric conduit (i.e. an elongated, floppy conduit) is a rare cause of dysphagia in patients with long survival. Gastric tube volvulus is exceedingly rare with only three cases described in the literature. We present the diagnostic and therapeutic course of a 57-year-old man who presented to our department with gastric tube volvulus 32 months after an Ivor–Lewis esophagectomy. Diagnosis was made with computed tomography and volvulus was reduced endoscopically. To the best of our knowledge, this is only the fourth case of gastric tube volvulus described in the English literature. This rare situation might be a consequence of a redundant gastric tube. Endoscopic volvulus decompression was successful in our case.

Download Full-text