Two cases of esophageal cancer with portal hypertension: esophagectomy with venous shunt procedure.
We performed venous shunt procedure in the reconstruction of the esophagus after esophagectomy using the gastric tube in two cases of esophageal cancer with portal hypertension due to liver cirrhosis. In both cases, the short-term postoperative course was uneventful, without congestion in the gastric tube. In Case 1 where the short gastric vein had been used as the shunt vein, the long-term postoperative course was also uneventful, without hepatic encephalopathy or hemorrhage from deterioration of the varices of the gastric tube. However, in Case 2 where the left gastroepiploic vein had been used, hepatic encephalopathy developed due to excessive shunt flow. These results suggested that appropriate shunt flow could be expected by using short gastric vein.
Kato
T
T
Second Department of Surgery, Hokkaido University School of Medicine, Tonan Hospital, Sapporo, Japan.
Motohara
T
T
Kaneko
Y
Y
Shikishima
H
H
Okushiba
S
S
Kondo
S
S
Kato
H
H
D004938:Esophageal Neoplasms / Q000150:complications* / Q000601:surgery*; D016629:Esophagectomy; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications / Q000209:etiology / Q000601:surgery*; D008103:Liver Cirrhosis / Q000150:complications; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures; D013270:Stomach / Q000637:transplantation