title: Diaphragmatic hernia following transhiatal esophagectomy.
abstract: Transitional esophagectomy (THE) has been advocated as an alternative to the classic transthoracic approach. A variety of complications have been previously described with THE however, these can be avoided with meticulous detail to its technique. We report a patient who developed a complete small bowel obstruction secondary to a diaphragmatic hernia following transhiatal esophagectomy. Techniques to prevent such a rare complication is described.
authors.affiliation: Department of Cardiothoracic Surgery, Albany Medical College, New York, USA.
authors.forename: H
authors.initials: H
authors.lastname: Reich
authors.forename: A Y
authors.initials: AY
authors.lastname: Lo
authors.forename: J C
authors.initials: JC
authors.lastname: Harvey
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery; D000328:Adult; D004938:Esophageal Neoplasms / Q000601:surgery; D016629:Esophagectomy / Q000009:adverse effects* / Q000379:methods; D004943:Esophagogastric Junction / Q000601:surgery; D006548:Hernia, Diaphragmatic / Q000209:etiology*; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology; D007579:Jejunal Diseases / Q000209:etiology; D008297:Male