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Successful staged surgery for advanced esophageal cancer after conversion pancreatoduodenectomy with pancreaticogastrostomy.
Clin J Gastroenterol
January 2025
Department of Gastroenterological Surgery and Pediatric Surgery, Gifu University Graduate School of Medicine, 1-1 Yanagido, Gifu City, Gifu Prefecture, 501-1194, Japan.
Background: Complex surgery during initial cancer treatment can limit surgical options when planning management of a secondary malignancy. Subtotal esophagectomy and pancreatoduodenectomy are the most invasive and difficult procedures in gastroenterological surgery. Surgical cases in which subtotal esophagectomy was performed after pancreatoduodenectomy with pancreaticogastrostomy are extremely rare and challenging procedures due to the resulting complicated anatomical changes.
View Article and Find Full Text PDFA Case of a Successfully Treated Patient With a Delayed Diagnosis of Boerhaave's Syndrome and Severe Complications.
Cureus
November 2024
Gastroenterology, Institute for Specialization and Mastering of Doctors, University Hospital Tsaritsa Ioanna, Sofia, BGR.
Boerhaave's syndrome is a rare critical condition manifesting as transmural esophageal rupture. It is usually associated with forceful emesis and increased intraesophageal pressure. Immediate aggressive surgical intervention is imperative in such cases.
View Article and Find Full Text PDFEvaluation of a Training Model to Teach Skills Associated with Esophagostomy Tube Placement in Companion Animals.
J Vet Med Educ
December 2024
Associate Professor in Small Animal Medicine, University of Surrey.
Models and simulations are used in veterinary education to allow students to practice surgical skills in order to obtain clinical competence. Further development of models is also driven by the requirement of veterinary institutions to reduce the use of animal patients in teaching (live or cadaver). Esophagostomy tube placement is a common therapeutic procedure performed in companion animal critical care cases, and a model was developed to help teach this skill.
View Article and Find Full Text PDFSurgical repair of benign thoracogastric airway fistula after esophagectomy using a pedicled myocutaneous flap.
J Thorac Dis
November 2024
Department of Thoracic Surgery, Section of Esophageal Surgery, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai, China.
Thoracogastric airway fistula (TGAF) is a rare but devastating complication that may occur following esophagectomy. The most effective method for repairing the defect between the airway and digestive tract is the interposition of a pedicled soft tissue in situ. However, this approach is associated with a high risk and remains challenging for surgeons.
View Article and Find Full Text PDFAlternative Operative Strategy in the Management of an Atrio-Esophageal Fistula.
Cureus
November 2024
Department of Cardiothoracic Surgery, Sarasota Memorial Health Care System, Sarasota, USA.
An atrio-esophageal fistula is a rare sequela of ablation. Standard approaches are associated with a high mortality. Atrial ablation resulting in an atrio-esophageal fistula is associated with exceedingly high mortality.
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