Gastric tube volvulus following an Ivor–Lewis esophagectomy

Author:

Schizas D1,Michalinos A1,Vergadis C2,Oikonomou D1,Baili E1,Sougioultzis S3,Moris D1,Liakakos T1

Affiliation:

1. First Department of Surgery, National and Kapodistrian University of Athens, Laikon University Hospital, Athens, Greece

2. Radiology Department, Laikon University Hospital, Athens, Greece

3. Gastroenterology Division, Department of Pathophysiology, National and Kapodistrian University of Athens, Laikon University Hospital, Athens, Greece

Abstract

Gastric tube conduit is the method of choice for restoring continuity of the digestive track after a partial or total esophagectomy. Redundant gastric conduit (i.e. an elongated, floppy conduit) is a rare cause of dysphagia in patients with long survival. Gastric tube volvulus is exceedingly rare with only three cases described in the literature. We present the diagnostic and therapeutic course of a 57-year-old man who presented to our department with gastric tube volvulus 32 months after an Ivor–Lewis esophagectomy. Diagnosis was made with computed tomography and volvulus was reduced endoscopically. To the best of our knowledge, this is only the fourth case of gastric tube volvulus described in the English literature. This rare situation might be a consequence of a redundant gastric tube. Endoscopic volvulus decompression was successful in our case.

Publisher

Royal College of Surgeons of England

Subject

General Medicine,Surgery

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