Gastric tube volvulus following an Ivor-Lewis esophagectomy.


Journal Article

Gastric tube conduit is the method of choice for restoring continuity of the digestive track after a partial or total esophagectomy. Redundant gastric conduit (i.e. an elongated, floppy conduit) is a rare cause of dysphagia in patients with long survival. Gastric tube volvulus is exceedingly rare with only three cases described in the literature. We present the diagnostic and therapeutic course of a 57-year-old man who presented to our department with gastric tube volvulus 32 months after an Ivor-Lewis esophagectomy. Diagnosis was made with computed tomography and volvulus was reduced endoscopically. To the best of our knowledge, this is only the fourth case of gastric tube volvulus described in the English literature. This rare situation might be a consequence of a redundant gastric tube. Endoscopic volvulus decompression was successful in our case.

Full Text

Duke Authors

Cited Authors

  • Schizas, D; Michalinos, A; Vergadis, C; Oikonomou, D; Baili, E; Sougioultzis, S; Moris, D; Liakakos, T

Published Date

  • January 2019

Published In

Volume / Issue

  • 101 / 1

Start / End Page

  • e1 - e4

PubMed ID

  • 30286640

Pubmed Central ID

  • 30286640

Electronic International Standard Serial Number (EISSN)

  • 1478-7083

International Standard Serial Number (ISSN)

  • 0035-8843

Digital Object Identifier (DOI)

  • 10.1308/rcsann.2018.0146


  • eng