Gastrocardiac fistulae are an exceedingly rare complication following esophagectomy with gastric conduit pull up. Unsurprisingly, there is a significant ascribed mortality with the disease process, often only identified postmortem. We report a case of transdiaphragmatic fistula between the intraabdominal gastric conduit and the right ventricle and surgical management thereof.
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http://dx.doi.org/10.1016/j.athoracsur.2018.09.026 | DOI Listing |
J Transl Med
December 2024
Department of General Surgery, The Lu'an Affiliated Hospital of Anhui Medical University, Lu'an People's Hospital, Lu'an, 237000, China.
Gastric cancer remains a significant health burden globally, especially prevalent in Asian and European regions. Despite a notable decline in incidence in the United States and Western Europe over recent decades, the disease's persistence underscores the urgency for advanced research in its pathogenesis and treatment strategies. Central to this pursuit is the exploration of the mitogen-activated protein kinase (MAPK) pathway, a pivotal cellular mechanism implicated in the complex processes of gastric cancer development, including cellular proliferation, invasion, migration, and metastasis.
View Article and Find Full Text PDFDis Esophagus
December 2024
Department of General, Visceral, Cancer and Transplantat Surgery, University Hospital of Cologne, Cologne, Germany.
The most common functional challenge after Ivor-Lewis esophagectomy is delayed emptying of the gastric conduit. One of the primary endoscopic treatment strategies is performing a pyloric dilatation. However, the effects of dilation have never been scientifically proven.
View Article and Find Full Text PDFJTCVS Tech
December 2024
Division of Esophageal Surgery, National Cancer Center Hospital East, Kashiwa, Japan.
J Gastrointest Surg
December 2024
Division of Gastrointestinal Surgery and Surgical Oncology, Department of Surgery, University of Florida College of Medicine-Jacksonville, Jacksonville, FL, United States. Electronic address:
Gastrointest Endosc
December 2024
Virginia Tech Carilion, Division of Gastroenterology, Roanoke, Virginia.
Background And Aims: Patients with concomitant gastric outlet obstruction (GOO) and biliary obstruction often have limited management options, particularly in the setting of severe debility. We detail the use of EUS guided gastro-duodenal placement of lumen apposing metal stent (LAMS) as a conduit for transduodenal ERCP: EUS-Directed transDuodenal ERCP (EDDE).
Methods: Nine patients that developed GOO with indwelling biliary metal stents or with anticipated biliary stent placement were retrospectively included.
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