Gastric tube volvulus following an Ivor-Lewis esophagectomy.
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.
Duke Scholars
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Related Subject Headings
- Tomography, X-Ray Computed
- Surgery
- Middle Aged
- Male
- Humans
- Esophagectomy
- Enteral Nutrition
- Endoscopy, Gastrointestinal
- Deglutition Disorders
- Abdominal Pain
Citation
Published In
DOI
EISSN
ISSN
Publication Date
Volume
Issue
Start / End Page
Related Subject Headings
- Tomography, X-Ray Computed
- Surgery
- Middle Aged
- Male
- Humans
- Esophagectomy
- Enteral Nutrition
- Endoscopy, Gastrointestinal
- Deglutition Disorders
- Abdominal Pain