An extraordinary rare anastomotic band causing food bolus obstruction following uneventful minimally invasive esophagectomy: endoscopic treatment

Author:

Baili Efstratia1,Davakis Spyridon1,Syllaios Athanasios1,Boura Maria1,Meropouli Antonia1,Charalabopoulos Alexandros1

Affiliation:

1. 1st Department of Surgery, Laiko General Hospital, National and Kapodistrian University of Athens, Athens 11527, Greece

Abstract

Abstract The most common long-term complication post esophagectomy implicating the esophagogastric anastomosis is stricture-induced stenosis leading to late postoperative dysphagia. Herein, we present a case of a male patient readmitted to our Upper Gastrointestinal Department due to a food bolus obstruction through an anastomotic epithelial band arisen from a prior esophagogastric anastomosis performed 5 months earlier. A band transection in between two hemostatic clips placed on both sides of the band, followed by a release and fragmentation of the foreign body into several pieces led to its final transoral removal endoscopically. The patient experienced a direct resolution of his dysphagia and discharged on the same day. At 6 months follow-up, he remains symptom-free. In conclusion, endoscopic state-of-the-art techniques when combined with standard hemostatic surgical principles in a minimally invasive manner are excellent tools for the management of post-esophagectomy syndromes.

Publisher

Oxford University Press (OUP)

Subject

Surgery

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