Percutaneous endoscopic gastrostomy risks rendering the gastric conduit unusable for esophagectomy.
Surgical treatment for cancer of the esophagus most often involves replacement of the esophagus with a gastric conduit. This gastric tube relies upon the continuity of the gastroepiploic artery for its blood supply. This case report involves a patient whose gastroepiploic artery became thrombosed by a percutaneous endoscopic gastrostomy, rendering his gastric conduit unusable.
Ohnmacht
G A
GA
Division of General Thoracic Surgery, Mayo Clinic College of Medicine, Rochester, Minnesota 55905, USA.
Allen
M S
MS
Cassivi
S D
SD
Deschamps
C
C
Nichols
F C
FC
Pairolero
P C
PC
D000230:Adenocarcinoma / Q000150:complications / Q000601:surgery*; D000368:Aged; D003680:Deglutition Disorders / Q000209:etiology; D004750:Enteral Nutrition / Q000009:adverse effects*; D004868:Equipment Failure; D004938:Esophageal Neoplasms / Q000150:complications / Q000601:surgery*; D016629:Esophagectomy / Q000379:methods*; D024405:Gastroepiploic Artery; D005774:Gastrostomy / Q000009:adverse effects*; D006801:Humans; D007441:Intubation, Gastrointestinal / Q000009:adverse effects*; D007582:Jejunostomy; D008297:Male