Gastric interposition following transhiatal esophagectomy: Radiographic evaluation

Herniation of colon following transhiatal esophagectomy.

We report a 38-year-old man with intestinal obstruction following transhiatal esophagectomy for carcinoma esophagus; it occurred secondary to herniation of the transverse colon through the esophageal hiatus into the mediastinum. The patient is asymptomatic after reduction of the hernia and repair of the disphragmatic hernia.

Duodenogastric Reflux after Esophagectomy and Gastric Interposition

Stomach is considered the “gold standard” as an esophageal substitute after esophagectomy. Reflux disease is considered an unavoidable consequence of esophageal resection followed gastric interposition. Reflux esophagitis shows a progression from inflammation to erosions and to the development of columnar lined metaplasia. With the use of a gastric interposition, the most popular option to reco...

Usefulness of Pyloromyotomy With Transhiatal Esophagectomy in Improving Gastric Emptying

INTRODUCTION Pyloromyotomy is a pyloric drainage procedure routinely done during transhiatal esophagectomy (THE) to prevent delayed gastric emptying (GE) resulting from truncal vagotomy. However, controversy still surrounds the need for pyloric drainage following esophageal substitution with gastric conduit after esophagectomy. The aim of this study was to determine the usefulness of pyloromyot...

Delayed Gastric Empting Following Transhiatal Esophagectomy without Pyloroplasty: Our Experience with Endoscopic Botox Injection

Esophagectomy is accompanied with high morbidity, in up to 70% of cases as well as significant mortality. One of the complications is delayed gastric tube emptying, up to 30 %. Gastric drainage procedure like pyloroplasty may solve this problem. This procedure, although relatively safe, can lead to significant complications like suture line leaks, bile reflux, and late pyloric stricture. The ai...

Intestinal-type gastric adenocarcinoma in a reconstructed gastric tube, after transhiatal esophagectomy.