A case of using the remnant stomach as substitute after esophagectomy for esophageal cancer with history of distal gastrectomy |
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Authors: | Masashi Takemura Masayuki Higashino Shinya Tanimura Yosuke Fukunaga Yoshinori Tanaka Yushi Fujiwara |
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Institution: | (1) Department of Gastroenterological Surgery, Osaka City General Hospital, 2-13-22 Miyakojimahondori, Miyakojima-ku, Osaka 534-0021, Japan |
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Abstract: | A 63-year-old man who had a distal subtotal gastrectomy and retrocolic end-to-side gastrojejunostomy was admitted because
of a mid-thoracic esophageal cancer. He underwent a two-stage subtotal esophagectomy and reconstruction using the remnant
stomach without microvascular anastomosis. We preserved the splenic artery, splenic vein, and the short gastric artery. The
remnant stomach was pulled up together with the pancreas through the anterior sternal route. The superiority of this technique
is that microvascular anastomosis is not needed because a sufficient blood supply from the splenic artery and only two anastomoses
are needed, compared with three or four anastomoses when using the colon. This technique is also likely to be safer for patients
requiring an esophagectomy after a distal gastrectomy. |
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Keywords: | Esophageal cancer Distal gastrectomy Reconstruction using remnant stomach |
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