Drain tube migration into the anastomotic site of an esophagojejunostomy for gastric small cell carcinoma: short report.
BACKGROUND
Intraluminal migration of a drain through an anastomotic site is a rare complication of gastric surgery.


METHODS
We herein report the intraluminal migration of a drain placed after a lower esophagectomy and total gastrectomy with Roux-en-Y anastomosis for gastric small cell carcinoma. Persistent drainage was noted 1 month after surgery, and radiographic studies were consistent with drain tube migration. Endoscopy revealed the drain had migrated into the esophagojejunostomy anastomotic site. The drain was removed from outside of abdominal wound while observing the anastomotic site endoscopically. The patient was treated with suction via a nasogastric tube drain for 5 days, and thereafter had an uneventful recovery.


CONCLUSIONS
Though drain tube migration is a rare occurrence, it should be considered in patients with persistent drainage who have undergone gastric surgery.
Lai
Peng-Sheng
PS
Department of Surgery, National Taiwan University Hospital, Yunlin branch, Taiwan.
Lo
Chiao
C
Lin
Long-Wei
LW
Lee
Po-Chu
PC
D000368:Aged; D000713:Anastomosis, Roux-en-Y; D018288:Carcinoma, Small Cell / Q000601:surgery*; D016629:Esophagectomy; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging*; D006801:Humans; D007582:Jejunostomy; D008297:Male; D011859:Radiography; D013274:Stomach Neoplasms / Q000601:surgery*; D013396:Suction / Q000295:instrumentation*; D016896:Treatment Outcome