Beware of gastric tube in esophagectomy after gastric radiotherapy:A case report  

作　　者：Can Yurttas Doerte Wichmann Cihan Gani Malte N Bongers Stephan Singer Christian Thiel Alfred Koenigsrainer Karolin Thiel 

机构地区：[1]Department of General,Visceral and Transplant Surgery,University Hospital of Tuebingen,Tuebingen 72076,Germany [2]Department of Radiooncology,University Hospital of Tuebingen,Tuebingen 72076,Germany [3]Department of Diagnostic and Interventional Radiology,University Hospital of Tuebingen,Tuebingen 72076,Germany [4]Department of Pathology,University Hospital of Tuebingen,Tuebingen 72076,Germany

出　　处：《World Journal of Clinical Cases》2022年第17期5854-5860,共7页世界临床病例杂志

摘　　要：BACKGROUND Gastric tube formation and pull-up is the most common technique of reconstruction following esophagectomy for esophageal cancer.If previous treatment with radiotherapy for gastric mucosa-associated lymphoid tissue(MALT)-lymphoma restricts suitability of the stomach for anastomosis to the esophagus is unknown.CASE SUMMARY A 57-year-old man underwent sequential chemotherapy and radiotherapy for gastric MALT-lymphoma seven years prior to diagnosis of esophageal adenocarcinoma.Esophagectomy without neoadjuvant treatment was recommended by the multidisciplinary tumor board due to early tumor stage[uT1(sm2)uN+cM0 according to TNM-classification of malignant tumors,8^(th) edition]without lymph node involvement.Minimal invasive esophageal resection with esophagogastrostomy was performed.Due to gastric tube necrosis with anastomotic leakage on the twelfth postoperative day,diverting resection with construction of a cervical salivary fistula was necessary.Rapid recovery facilitated colonic interposition without any complications six months afterwards.CONCLUSION This case report may represent the start for further investigation to know if it is reasonable to refrain from esophagogastrostomy in patients with a long interval between gastric radiotherapy and surgery.

关 键 词：Esophageal cancer Mucosa-associated lymphoid tissue lymphoma ESOPHAGOGASTROSTOMY Cervical fistula Colonic interposition Case report 

分 类 号：R735.1[医药卫生—肿瘤]