A Case of Perforated Refractory Ulcer in the Gastric Tube after Esophageal Cancer

Ohara, Toshiaki; Tsumura, Makoto; Utsumi, Masashi; Yamasaki, Yasumoto; Kokudo, Yasutaka; Muraoka, Atsushi; Tatemoto, Akihiko; Kagawa, Shigeo; Tsuruno, Masaki

doi:10.5833/jjgs.39.289

Cited by 3 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Table 2 shows the characteristics of the 23 cases of perforated gastric tubes that were derived from the case reports in the Japanese literature. [18][19][20] In these reports, various sites of perforation such as the pericardium, trachea, and skin were involved, and the incidence of retrosternal reconstruction was higher (52.2%) than posterior mediastinal reconstruction (39.1%). The rate of fatal gastric tube perforation of the posterior mediastinal reconstruction was 77.8%, while that of retrosternal reconstruction was 50.0% and that of antesternal reconstruction was 0%.…”

Section: Case Reports On Perforated Gastric Tubesmentioning

confidence: 91%

“…51 Indeed, most of the reported cases of gastric tube ulcers did not involve pain, [7][8][9][10][11][12][13][14][15][16][17][18][51][52][53][54] so that ulcers of the gastric tube may be less frequently painful than ordinary gastric ulcers. However, the mechanism of ulcer pain remains controversial.…”

Section: Reasons For the Absence Of Pain In Gastric Tube Ulcersmentioning

confidence: 99%

See 1 more Smart Citation

Gastric tube perforation after esophagectomy for esophageal cancer

et al. 2011

View full text Add to dashboard Cite

We searched for cases of perforation of the gastric tube after esophagectomy for esophageal cancer by reviewing the literature. Only 13 cases were found in the English literature, and serious complications were seen in all cases, especially in cases of posterior mediastinal reconstruction. However, in the Japanese literature serious complications were also frequently seen in retrosternal reconstruction. Gastric tubes are at a higher risk of developing an ulcer than the normal stomach, including an ulcer due to Helicobacter pylori infection, insufficient blood supply, gastric stasis, and bile juice regurgitation. H. pylori eradication and acid-suppressive medications are important preventive therapies for ordinary gastric ulcers, but for gastric tube ulcers the effects of such treatments are still controversial. We tried to determine the most appropriate treatment to avoid serious complications in the gastric tubes, but we could not confirm an optimal route because each had advantages and disadvantages. However, at least in cases with severe atrophic gastritis due to H. pylori infection or a history of frequent peptic ulcer treatment, the antesternal route is clearly the best. Many cases of gastric tube ulcers involve no pain, and vagotomy may be one of the reasons for this absence of pain. Therefore, periodic endoscopic examination may be necessary to rule out the presence of an ulcer.

show abstract

Section: Case Reports On Perforated Gastric Tubesmentioning

confidence: 91%

Section: Reasons For the Absence Of Pain In Gastric Tube Ulcersmentioning

confidence: 99%

Gastric tube perforation after esophagectomy for esophageal cancer

et al. 2011

View full text Add to dashboard Cite

show abstract

A case of refractory gastric tube ulcer perforating the right atrium

Matsuo¹,

Suga²,

Otsuka³

et al. 2010

Nihon Kyukyu Igakukai Zasshi

View full text Add to dashboard Cite

A Case of Pericardial Perforation of an Esophageal Ulcer Treated by Percutaneous Pericardial Drainage

Sakuraba,

Koizumi,

Ueda

et al. 2022

JJCS

View full text Add to dashboard Cite

The patient was a 73-year-old woman with Parkinsonʼs disease, for which she was receiving medical treatment. She was referred to our hospital with a 2-day history of fever and dyspnea. The patient was diagnosed as having an esophageal ulcer with pericardial perforation, based on the findings of chest and abdominal contrast-enhanced CT and upper gastrointestinal endoscopy. Both surgical treatment under general anesthesia and percutaneous pericardial drainage were considered, but due to the patientʼs poor nutritional status, percutaneous drainage was performed. After drainage, antibiotic therapy, and enteral feeding, the inflammatory response improved and the fistula closed, and the patient was transferred to another hospital on day 54. The patient had no risk factors for an esophageal ulcer, such as a history of gastrointestinal surgery or radiation therapy, or medication, and no obvious precipitating factors could be identified.

show abstract

A Case of Perforated Refractory Ulcer in the Gastric Tube after Esophageal Cancer

Cited by 3 publications

References 0 publications

Gastric tube perforation after esophagectomy for esophageal cancer

Gastric tube perforation after esophagectomy for esophageal cancer

A case of refractory gastric tube ulcer perforating the right atrium

A Case of Pericardial Perforation of an Esophageal Ulcer Treated by Percutaneous Pericardial Drainage

Contact Info

Product

Resources

About