Airway obstruction following transhiatal esophagogastrectomy.
A 79 year old man suffered acute respiratory distress secondary to delayed gastric emptying several months following esophagogastrostomy. No drainage procedure was performed at the time of the procedure. The need for a drainage procedure is controversial. Symptoms of gastric stasis have reportedly improved with a drainage procedure and the risk of concomitant pyloromyotomy or pyloroplasty has been shown to be minimal and may prevent a potentially catastrophic complication as described in this report.
Santoscoy
R
R
Creighton University Affiliated Hospitals, Omaha, NE 68131.
Rothberg
M
M
Van Duyne
J
J
Hagan
J
J
D000368:Aged; D000402:Airway Obstruction / Q000209:etiology* / Q000628:therapy; D004322:Drainage; D016629:Esophagectomy / Q000009:adverse effects*; D005743:Gastrectomy / Q000009:adverse effects*; D005746:Gastric Emptying; D006801:Humans; D008297:Male