Endoscopic Management of Early Upper Gastrointestinal Bleeding After Minimally Invasive Ivor-Lewis Esophagectomy

Zhang, Ren-Quan; Kang, Ningning; Cao, Yun; Xia, Wanli; Yu, Zhai-Cheng; Pan, Huaguang; Ge, Wei; Chen, Anguo; Wan, Jun

doi:10.1016/j.athoracsur.2015.03.124

Cited by 6 publications

(4 citation statements)

References 7 publications

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“…The use of Hemoclips offers an application via the working channel with a permanent view to the bleeding source. Hemoclips are suitable for anastomotic bleeding and do not injure the surrounding tissue [ 16 , 17 ].…”

Section: Resultsmentioning

confidence: 99%

Endoscopic Management for Post-Surgical Complications after Resection of Esophageal Cancer

Wichmann¹,

Fusco²,

Werner³

et al. 2022

Cancers

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Background: Esophageal cancer (EC) is the sixth-leading cause of cancer-related deaths in the world. Esophagectomy is the most effective treatment for patients without invasion of adjacent organs or distant metastasis. Complications and relevant problems may occur in the early post-operative course or in a delayed fashion. Here, innovative endoscopic techniques for the treatment of postsurgical problems were developed during the past 20 years. Methods: Endoscopic treatment strategies for the following postoperative complications are presented: anastomotic bleeding, anastomotic insufficiency, delayed gastric passage and anastomotic stenosis. Based on a literature review covering the last two decades, therapeutic procedures are presented and analyzed. Results: Addressing the four complications mentioned, clipping, stenting, injection therapy, dilatation, and negative pressure therapy are successfully utilized as endoscopic treatment techniques today. Conclusion: Endoscopic treatment plays a major role in both early-postoperative and long-term aftercare. During the past 20 years, essential therapeutic measures have been established. A continuous development of these techniques in the field of endoscopy can be expected.

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Section: Resultsmentioning

confidence: 99%

Endoscopic Management for Post-Surgical Complications after Resection of Esophageal Cancer

Wichmann¹,

Fusco²,

Werner³

et al. 2022

Cancers

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“…The most common complications are cardiac, respiratory and gastric tube ischaemia or anastomotic leak [7] . However, delayed upper GI bleeding has only rarely been reported [2] , [3] , [4] . Our patient's case of delayed bleeding after an open esophagectomy for a benign stricture is likely to be even more uncommon.…”

Section: Discussionmentioning

confidence: 99%

“…There is some reluctance to use clips in the early post-operative period due to the risk of disrupting the anastomosis. However, there is at least one report of successful endoscopic management of a post-esophagectomy upper GI bleed with clips which avoided the need for a second surgery [2] .…”

Section: Discussionmentioning

confidence: 99%

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A case report of endovascular management of delayed upper gastrointestinal bleeding after open esophagectomy for a benign esophageal stricture

Lambe

Courtney

Judge

et al. 2021

International Journal of Surgery Case Reports

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Introduction Delayed upper gastrointestinal (GI) bleeding is a rare complication of esophagectomy and can be difficult to manage. Presentation A 76-year-old female represented 17 days post open esophagectomy with an unstable upper GI bleed. When control could not be achieved endoscopically, she was transferred to the Radiology Department where a triphasic CT angiogram confirmed active contrast extravasation into the gastric tube. She proceeded to the Interventional Radiology suite where a thoracic angiogram revealed an active arterial bleed from a branch of the thyrocervical trunk. The bleeding vessel was successfully embolised with coils and haemostasis was achieved. Discussion Management options for upper GI bleeding post esophagectomy include medical, endoscopic and endovascular approaches. Conclusion Our case represents a rare example of delayed bleeding into a gastric conduit post open esophagectomy for a benign stricture. The case reinforces: The management options available for controlling an acute upper GI bleed. The value of a CT angiogram in identifying the site of bleeding and mapping the relevant vascular anatomy prior to embolization. How endovascular embolization is a minimally invasive and potentially life-saving intervention for bleeds that cannot be controlled endoscopically.

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Endovascular Management of Gastric Conduit Hemorrhage following Transthoracic Esophagectomy

Lin

Lee

Shin

et al. 2021

Journal of Vascular and Interventional Radiology

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Endoscopic Management of Early Upper Gastrointestinal Bleeding After Minimally Invasive Ivor-Lewis Esophagectomy

Cited by 6 publications

References 7 publications

Endoscopic Management for Post-Surgical Complications after Resection of Esophageal Cancer

Endoscopic Management for Post-Surgical Complications after Resection of Esophageal Cancer

A case report of endovascular management of delayed upper gastrointestinal bleeding after open esophagectomy for a benign esophageal stricture

Endovascular Management of Gastric Conduit Hemorrhage following Transthoracic Esophagectomy

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