Late presentation of gastric tube ulcer perforation after oesophageal atresia repair

Hazebroek, Eric J.; Hazebroek, F. W. J.; Leibman, Steven; Smith, Garett

doi:10.1007/s00383-008-2178-9

Cited by 5 publications

(6 citation statements)

References 13 publications

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“…None were reported to undergo additional operations for postoperative complications. Hazebroek et al [10] reported a patient with 30 year follow-up after undergoing reverse gastric tube interposition for esophageal atresia. She presented at age 32 years with hematemesis and was found to have a gastric tube ulcer that eventually led to a gastrobronchial fistula.…”

Section: Discussionmentioning

confidence: 98%

Surgical treatment of esophagogastric dysfunction forty years after reverse gastric tube esophagoplasty for congenital esophageal anomaly

Ashburn

Meyers

Phillips

2011

Journal of Pediatric Surgery

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Section: Discussionmentioning

confidence: 98%

Surgical treatment of esophagogastric dysfunction forty years after reverse gastric tube esophagoplasty for congenital esophageal anomaly

Ashburn

Meyers

Phillips

2011

Journal of Pediatric Surgery

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“…In general, there are three routes of reconstruction after esophagectomy for esophageal cancer: posterior mediastinal, retrosternal, and antesternal. In the posterior mediastinal route, gastric tube perforation generally occurs into the thoracic cavity, which is serious and sometimes fatal 1,5–8 . By contrast, retrosternal‐reconstructed gastric tube perforation is less severe due to the narrow space in the retrosternal cavity 9 .…”

Section: Discussionmentioning

confidence: 99%

“…In the posterior mediastinal route, gastric tube perforation generally occurs into the thoracic cavity, which is serious and sometimes fatal. 1 , 5 , 6 , 7 , 8 By contrast, retrosternal‐reconstructed gastric tube perforation is less severe due to the narrow space in the retrosternal cavity. 9 However, in the present case, due to the repeated gastric tube ulcer recurrence and chronic inflammation, penetration between the gastric tube and pericardium occurred, resulting in retrosternal and pericardial abscess formation.…”

Section: Discussionmentioning

confidence: 99%

Gastric tube perforation penetrating the pericardium after esophagectomy that needed surgical repair

Akutsu,

Endo,

Okuzawa

et al. 2023

Acute Medicine & Surgery

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BackgroundAs the prognosis of esophageal cancer surgery has improved, reports on postoperative complications of gastric tubes have increased. Among them, gastric tube ulcer perforation is infrequent but often severe and difficult to treat.Case PresentationA 73‐year‐old man had undergone thoracoscopic subtotal esophagectomy and laparoscopic‐assisted gastric tube reconstruction via the retrosternal route for thoracic esophageal cancer 8 years previously. He was transferred to our hospital with a diagnosis of gastric tube ulcer perforation, penetrating the pericardium. Emergency surgery was performed to remove the gastric tube, followed by immediate reconstruction by right colon interposition. The patient was discharged on postoperative day 142.ConclusionWe report a rare complication of gastric tube ulcer perforation, penetrating the pericardium, after esophagectomy for esophageal cancer. It was successfully treated with appropriate surgical management.

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“…Extirpation of the esophagus and plastic surgery with the isoperistaltic gastric tube are preferred among a variety of methods for reconstruction in benign esophageal disease [10][11][12]. Studying the delayed consequences of esophagogastroplasty revealed a high risk for the development and progression of pathological changes (despite high functional activity of the gastric tube) [4,5,8,13].…”

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confidence: 99%

Ultrastructural Study of Cell Populations in the Gastric Transplant after Esophagoplasty

et al. 2011

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Ultrastructural characteristics of cell populations in the gastric tube mucosa were studied after plastic surgery for benign esophageal disease. The foveolar epithelium mainly consisted of secretory active mucocytes with small changes in cytoplasmic organelles. Functionally immature parietal cells and gland cells in the epithelium of fundal glands were characterized by atrophy and degeneration. Ultrastructural features of the epithelial compartment attest to adaptive cellular hypersecretion of the mucoid against the background of impaired acid production and enzyme secretion. The stromal compartment was characterized by low pinocytotic activity of endothelial cells in blood vessels and polymorphism of smooth muscle cells. Hypertrophic leiomyocytes were shown to dominate in the population of these cells. Some cells had signs of biosynthesis and reduction of filaments. Single leiomyocytes were degenerated. The observed ultrastructural modification of epithelial and connective cells can be interpreted as structural adaptation of the gastric transplant.

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Late presentation of gastric tube ulcer perforation after oesophageal atresia repair

Abstract: Ulcer formation in intrathoracic grafts after oesophageal replacement is considered an infrequent complication of the procedure. We present a rare case of a gastric tube ulcer with perforation, more than 30 years after gastric tube interposition for oesophageal atresia.

Cited by 5 publications

References 13 publications

Surgical treatment of esophagogastric dysfunction forty years after reverse gastric tube esophagoplasty for congenital esophageal anomaly

Surgical treatment of esophagogastric dysfunction forty years after reverse gastric tube esophagoplasty for congenital esophageal anomaly

Gastric tube perforation penetrating the pericardium after esophagectomy that needed surgical repair

Ultrastructural Study of Cell Populations in the Gastric Transplant after Esophagoplasty

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