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Title: | Fuga intratorácica tras Ivor-Lewis por neoplasia de esófago tratada con endoprótesis | Other Titles: | Intrathoracic leak after an ivor lewis procedure for an esophageal neoplasm treated with a stent | Authors: | Afonso Luis, Natalia Acosta-Mérida, María Asunción Marchena-Gómez, Joaquín |
UNESCO Clasification: | 320503 Gastroenterología | Keywords: | Fuga Esófago Endoprótesis |
Issue Date: | 2018 | Publisher: | 1130-0108 | Journal: | Revista Espanola de Enfermedades Digestivas | Abstract: | A 75-year-old male who underwent an Ivor Lewis esophagectomy due to a distal adenocarcinoma had a leak at the gastroplasty on the 5th day after surgery, which required two surgeries and a primary suture. He was transferred to our hospital due to a poor outcome and endoscopy revealed a 2.5cm gap perianastomotically on the gastroplasty wall, for which a stent was placed. Due to hemodynamic impairment, a thoracotomy procedure was performed, which revealed stent protrusion into the cavity. The patient underwent an esophagogastric anastomosis resection, cervical esophagostomy and gastrostomy. Sepsis was resolved postoperatively and the patient had a protracted stay in the PACU due to poor respiratory dynamics following a prolonged intubation. | URI: | https://accedacris.ulpgc.es/handle/10553/42683 | ISSN: | 1130-0108 | DOI: | 10.17235/reed.2018.5161/2017 | Source: | Revista Espanola de Enfermedades Digestivas[ISSN 1130-0108],v. 110, p. 267-268 |
Appears in Collections: | Comentario |
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