Delayed cervical esophagogastric anastomosis.
Although uncommon, ischemia of the gastric fundus can lead to catastrophic anastomotic complications after transhiatal esophagectomy. "Delaying" the anastomosis may prevent complications in occasional patients with particularly compromised gastric fundal perfusion.
Urschel
J D
JD
Department of Thoracic Surgery, Roswell Park Cancer Institute, Buffalo, New York 14263-0001, USA.
Whooley
B P
BP
Petrelli
N J
NJ
D000714:Anastomosis, Surgical / Q000009:adverse effects; D004938:Esophageal Neoplasms / Q000601:surgery; D016629:Esophagectomy / Q000009:adverse effects; D004947:Esophagus / Q000601:surgery*; D005500:Follow-Up Studies; D005748:Gastric Fundus / Q000098:blood supply; D006801:Humans; D007511:Ischemia / Q000209:etiology / Q000601:surgery; D009333:Neck; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D012086:Reoperation; D013270:Stomach / Q000098:blood supply / Q000601:surgery*; D013524:Surgical Flaps