title: Delayed cervical esophagogastrostomy: a surgical alternative for patients with ischemia of the gastric conduit at time of esophagectomy.
abstract: Ischemia of the gastric conduit after esophagectomy represents a setback that increases the risk of anastomotic leak. In order to prevent this severe complication, a surgical alternative has been proposed which consists in delaying the reconstruction until gastric perfusion improves. By adopting this strategy we can avoid two other surgical options that may significantly increase the risk of complications: 1) performing an esophagogastrostomy with a poorly perfused gastric tube and 2) resecting the gastric conduit followed by a complex reconstruction.
authors.affiliation: Sección de Cirugía Gastrointestinal, Hospital Universitario del Mar, Universitat Autònoma de Barcelona, Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Barcelona, España.
authors.forename: Enrique
authors.initials: E
authors.lastname: Lanzarini
authors.affiliation: Sección de Cirugía Gastrointestinal, Hospital Universitario del Mar, Universitat Autònoma de Barcelona, Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Barcelona, España.
authors.forename: José M
authors.initials: JM
authors.lastname: Ramón
authors.affiliation: Sección de Cirugía Gastrointestinal, Hospital Universitario del Mar, Universitat Autònoma de Barcelona, Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Barcelona, España.
authors.forename: Luis
authors.initials: L
authors.lastname: Grande
authors.affiliation: Sección de Cirugía Gastrointestinal, Hospital Universitario del Mar, Universitat Autònoma de Barcelona, Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Barcelona, España. Electronic address: pera@parcdesalutmar.cat.
authors.forename: Manuel
authors.initials: M
authors.lastname: Pera
mesh_terms: D016629:Esophagectomy; D004946:Esophagostomy / Q000379:methods*; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D007511:Ischemia / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013270:Stomach / Q000098:blood supply*; D013997:Time Factors
keywords: Anastomotic leak; Dehiscencia anastomótica; Esofagectomía; Esophageal reconstruction; Esophagectomy; Ischemia; Isquemia; Reconstrucción esofágica