title: Laparoscopic management of obstructed gastric conduit after minimally invasive esophagectomy.
abstract: We describe a novel, minimally invasive method of managing an obstructed gastric conduit after minimally invasive esophagectomy. In addition, we briefly review the management of obstructed gastric conduit in patients status-post minimally invasive esophagectomy. On literature review, it was noted that gastrojejunostomy after esophagectomy was exceptionally rare. Only one other reported case of gastrojejunostomy after esophagectomy was found in the literature. This is the first reported case to our knowledge of laparoscopic gastrojejunostomy after minimally invasive esophagectomy (MIE). Laparoscopic gastrojejunostomy after minimally invasive esophagectomy for obstructed gastric conduit is technically feasible, and it effectively managed the obstruction in our patient.
authors.affiliation: Loma Linda University Medical Center, Loma Linda, California.
authors.forename: Garrett
authors.initials: G
authors.lastname: Friedman
authors.affiliation: Loma Linda University Medical Center, Loma Linda, California.
authors.forename: Hannah
authors.initials: H
authors.lastname: Copeland
authors.affiliation: Loma Linda University Medical Center, Loma Linda, California.
authors.forename: Juan Andres
authors.initials: JA
authors.lastname: Astudillo
authors.affiliation: Loma Linda University Medical Center, Loma Linda, California.
authors.forename: Marcos
authors.initials: M
authors.lastname: Michelotti
authors.affiliation: Loma Linda University Medical Center, Loma Linda, California. Electronic address: jmwallen@llu.edu.
authors.forename: Jason
authors.initials: J
authors.lastname: Wallen
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis / Q000601:surgery*; D000714:Anastomosis, Surgical / Q000009:adverse effects / Q000379:methods; D003251:Constriction, Pathologic / Q000473:pathology / Q000601:surgery; D004938:Esophageal Neoplasms / Q000175:diagnosis / Q000601:surgery*; D016629:Esophagectomy / Q000379:methods; D004943:Esophagogastric Junction / Q000473:pathology / Q000601:surgery*; D005500:Follow-Up Studies; D015390:Gastric Bypass / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D018570:Risk Assessment; D016896:Treatment Outcome