title: Gastric conduit perforation.
abstract: As patients with carcinoma of the esophagus live longer, complications associated with the use of a gastric conduit are increasing. Ulcers form in the gastric conduit in 6.6% to 19.4% of patients. There are a few reports of perforation of a gastric conduit in the English literature. Almost all of these were associated with serious complications. We report a patient who developed a tension pneumothorax consequent to spontaneous perforation of an ulcer in the gastric conduit 7 years after the index surgery in a patient with carcinoma of the gastroesophageal junction. He responded well to conservative management. Complications related to a gastric conduit can be because of multiple factors. Periodic endoscopic surveillance of gastric conduits should be considered as these are at a higher risk of ulcer formation than a normal stomach. Long term treatment with proton pump inhibitors may decrease complications. There are no guidelines for the treatment of a perforated gastric conduit ulcer and the management should be individualized.
authors.affiliation: Nilesh Patil, Arvind Kaushal, Amit Jain, Sundeep Singh Saluja, Pramod Kumar Mishra, Department of Gastrointestinal Surgery, Academic Block, GB Pant Hospital and Maulana Azad Medical College, New Delhi 110002, India.
authors.forename: Nilesh
authors.initials: N
authors.lastname: Patil
authors.affiliation: Nilesh Patil, Arvind Kaushal, Amit Jain, Sundeep Singh Saluja, Pramod Kumar Mishra, Department of Gastrointestinal Surgery, Academic Block, GB Pant Hospital and Maulana Azad Medical College, New Delhi 110002, India.
authors.forename: Arvind
authors.initials: A
authors.lastname: Kaushal
authors.affiliation: Nilesh Patil, Arvind Kaushal, Amit Jain, Sundeep Singh Saluja, Pramod Kumar Mishra, Department of Gastrointestinal Surgery, Academic Block, GB Pant Hospital and Maulana Azad Medical College, New Delhi 110002, India.
authors.forename: Amit
authors.initials: A
authors.lastname: Jain
authors.affiliation: Nilesh Patil, Arvind Kaushal, Amit Jain, Sundeep Singh Saluja, Pramod Kumar Mishra, Department of Gastrointestinal Surgery, Academic Block, GB Pant Hospital and Maulana Azad Medical College, New Delhi 110002, India.
authors.forename: Sundeep Singh
authors.initials: SS
authors.lastname: Saluja
authors.affiliation: Nilesh Patil, Arvind Kaushal, Amit Jain, Sundeep Singh Saluja, Pramod Kumar Mishra, Department of Gastrointestinal Surgery, Academic Block, GB Pant Hospital and Maulana Azad Medical College, New Delhi 110002, India.
authors.forename: Pramod Kumar
authors.initials: PK
authors.lastname: Mishra
keywords: Carcinoma of the esophagus; Gastric conduit; Perforation; Proton pump inhibitors; Ulcer formation