The Difficult Esophageal Conduit.

Rajat Kumar, Benjamin Wei

Journal: The Surgical clinics of North America 2019;99(3):471-478

PMID: 31047036

Full Text on Elsevier Science View on PubMed

Abstract

A variety of esophageal diseases are treated with esophagectomy, from benign to esophageal cancer. Careful attention must be given to management of the difficult conduit, including patients who have had prior gastric surgery and other procedures, patients with conditions such as diabetic gastroparesis, which can affect the stomach as a future usable conduit, and patients who have an absent or unusable stomach. In these situations, consideration should be raised for the use of alternative conduits, including jejunal and colonic interposition conduits. The esophageal surgeon should also be adept at management of intraoperative difficulties with the conduit.

Published by Elsevier Inc.

Address: Division of Cardiothoracic Surgery, Department of Surgery, University of Alabama Birmingham Medical Center, Birmingham, AL, USA.; Division of Cardiothoracic Surgery, Department of Surgery, University of Alabama Birmingham Medical Center, Birmingham, AL, USA. Electronic address: [email protected].

DOI: 10.1016/j.suc.2019.02.009

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MeSH Terms: Bariatric Surgery, Colon, Contraindications, Procedure, Enteral Nutrition, Esophageal Neoplasms, Gastrostomy, Humans, Intraoperative Complications, Jejunostomy, Jejunum, Postoperative Complications, Second-Look Surgery, Stomach