[Unusual late complication after esophagoplasty type Gavriliu II for esophageal stenosis from chemical burns--cancer of the esophagoplasty tube].
We present the case of a 56 year old female, who in 23 years after esophagoplasty type Gavriliu II, with pre-sternal tube for esophageal chemical burn stenosis, develops a cancer in the upper third of the gastric tube, with a fast evolution to malnutrition, through lumen obturation. The evolution post-esophagoplasty was marked by malfunction of the neo-esophagus, characterized through dysphagia and distal dilatation, requiring many abdominal and pre-sternal reinterventions. The objective of the present surgical intervention was to assure a way for enteral nutrition (gastrostomy for feeding) and to extirpate the gastro-esophagoplasty tube. It is discussed the characteristic feature of the case: the difficulty of the stage-evolutive integration of this malignant disease location, the etiopathogenic factors that contributed to the malignant evolution of the antral portion of the gastro-esophagoplasty tube, the limits of the surgical treatment.
Paşalega
M
M
Clinica Chirurgie II, U.M.F. Craiova. pasmar@mail.com
Burdescu
C
C
Meşină
C
C
Mirea
C
C
Tenea
T
T
Vasile
I
I
D000230:Adenocarcinoma / Q000209:etiology* / Q000601:surgery; D002057:Burns, Chemical / Q000150:complications*; D004938:Esophageal Neoplasms / Q000209:etiology* / Q000601:surgery; D004940:Esophageal Stenosis / Q000209:etiology / Q000601:surgery*; D004943:Esophagogastric Junction; D004944:Esophagoplasty / Q000009:adverse effects* / Q000379:methods; D005260:Female; D006801:Humans; D008875:Middle Aged; D016896:Treatment Outcome