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Management of gastric conduit dehiscence with self-expanding metal stents: a case report on salvaging the gastric conduit

Overview of attention for article published in Journal of Cardiothoracic Surgery, January 2017
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Title
Management of gastric conduit dehiscence with self-expanding metal stents: a case report on salvaging the gastric conduit
Published in
Journal of Cardiothoracic Surgery, January 2017
DOI 10.1186/s13019-017-0570-z
Pubmed ID
Authors

Diana H. Liang, Leonora M. Meisenbach, Min P. Kim, Edward Y. Chan, Puja Gaur Khaitan

Abstract

Three-hole minimally invasive esophagectomy (3HMIE) is one of the most radical procedures in gastrointestinal surgery. It involves thoracoscopic dissection of the esophagus followed by creation of a gastric conduit in the abdomen with anastomosis in the neck, and is associated with significant morbidity. Gastric conduit dehiscence is one of the most morbid complications following esophagectomy. Historically, the standard of care in this situation has been conduit diversion with delayed esophageal reconstruction. Here, we report two patients with a timely diagnosis of gastric conduit dehiscence of staple line after 3HMIE who were salvaged successfully with endoscopic placement of self-expanding metal stents. Endoscopic stents may be used in selected cases of gastric conduit dehiscence after 3HMIE to salvage the conduit.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 11 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 11 100%

Demographic breakdown

Readers by professional status Count As %
Student > Postgraduate 2 18%
Other 2 18%
Researcher 2 18%
Lecturer > Senior Lecturer 1 9%
Student > Bachelor 1 9%
Other 0 0%
Unknown 3 27%
Readers by discipline Count As %
Medicine and Dentistry 6 55%
Nursing and Health Professions 1 9%
Unknown 4 36%