Esophagectomy in a Patient with an Esophageal Self-Expanding Metallic Stent In-Situ

18 Jul 2024 04:00 05:30
Bomet, Kenya
Russell E White Host

Patient Profile & Clinical History

  • Patient: 50-year-old male

  • Diagnosis: Moderately differentiated SCC of the esophagus.

  • Neoadjuvant Treatment: Received neoadjuvant chemo-radiotherapy and was in clinical and radiological remission at the time of surgery.

  • Esophageal Stent: Esophageal Self-Expanding Metallic Stent (SEMS) placed 10 months prior to surgery for nutritional rehabilitation.

  • Surgery: Underwent three-field esophagectomy.

Postoperative Complications

  • Gastric Conduit Leak: Developed gastric conduit leak postoperatively.

  • Management: Successfully managed endoscopically with SEMS.

Topics for Discussion

  1. Esophagectomy in patients with SEMS in-situ

  2. The role of esophagectomy after neo-adjuvant chemo-radiotherapy

  3. Etiologies of anastomotic leak and conduit break-down after esophagectomy

  4. Management options for anastomotic leak and conduit break-down after esophagectomy

  5. The role of esophageal stents for controlling anastomotic leak