Journal of Digestive Endoscopy (Jan 2013)

Esophagojejunal anastomotic leak managed with self expandable metallic stent

  • Arvind Madurandagam Annapillai,
  • Biggs Saravanan Ramachandran,
  • Senthilkumar Ponniah,
  • V Hemamala,
  • B Kesavan,
  • Premkumar Karunakaran,
  • Prabhakaran Raju,
  • G Manoharan,
  • Chandramohan Servarayan Murugesan,
  • Mohammed Ali Muhammed

Journal volume & issue
Vol. 4, no. 1
pp. 13 – 15

Abstract

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Esophagealjejunal anastomotic leak after gastrectomy is a serious surgical emergency with high mortality. This report describes a 57-year-old male with esophagojejunal anastomotic leak following total gastrectomy for gastric cancer and was managed successfully with self-expandable metallic stent. To our knowledge this is the first such report from India. This case report highlights the need of interdisciplinary coordination in managing this difficult clinical situation. Endotherapy with self-expandable metallic stent (SEM) provided twin benefits of improving respiratory embarrassment and the joy of eating. Therapy of such difficult cases must be individualized; however, and SEM stent usage is a viable option

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