Gastric tube volvulus following an Ivor-Lewis esophagectomy
- Resource Type
- Authors
- Adamantios Michalinos; Chrysovalantis Vergadis; Theodoros Liakakos; Dimitrios Oikonomou; Dimitrios Schizas; Stavros Sougioultzis; Demetrios Moris; Efstratia Baili
- Source
- Annals of the Royal College of Surgeons of England. 101(1)
- Subject
- Male
medicine.medical_specialty
medicine.medical_treatment
030230 surgery
Endoscopy, Gastrointestinal
03 medical and health sciences
0302 clinical medicine
Electrical conduit
Enteral Nutrition
parasitic diseases
medicine
Ivor lewis
Humans
Tube (fluid conveyance)
business.industry
Total esophagectomy
Gastric conduit
digestive, oral, and skin physiology
General Medicine
Middle Aged
medicine.disease
digestive system diseases
Volvulus
Surgery
Abdominal Pain
Esophagectomy
Online Case Report
business
Deglutition Disorders
Tomography, X-Ray Computed
- Language
- ISSN
- 1478-7083
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.