Abstract
The gastric pedicle is commonly used for reconstruction following resection of esophageal cancer. However, we recently experienced a case in which two gastric tube ulcers occurred three months postoperatively; one penetrating into the pericardial cavity and the other into the left brachiocephalic vein. To our knowledge, no other such a case has ever been reported and we therefore report and discuss its etiology and management.
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Kirschner M. Reconstruction of esophagus without tube. Arch Klin Chir 1920; 114: 606–663.
Nakayama K. Statistical review of 5-year survivals after surgery for carcinoma of the esophagus and cardiac portion of the stomach. Surgery 1959; 45: 883–889.
Ward AS, Collis JL. Late results of esophageal and esophagogastric resection in the treatment of esophageal cancer. Thorax 1971; 26: 1–5.
Malcolm JA. Occurrence of peptic ulcer in colon use for esophageal replacement. J Thorac Cardiovasc Surg 1968; 55: 763–772.
Uchida Y, Timonari K, Murakami S, Hadama T, Shibata O, Shirabe J. Occurrence of peptic ulcer in the gastric tube used for esophageal replacement in adults. Jpn J Surg 1987; 17: 190–194.
Ishida K, Mori S, Watanabe M, Otsu T, Kikuchi M. A case report of peptic ulcer in the gastric tube after resection of esophageal cancer. Shokaki Geka (Gastroenterological Surgery) 1985; 8: 1502–1504. (in Japanese)
Tsujinaka T, Ogawa M, Kido Y, Shiosaki H, Mori T. A giant tracheogastric tube fistula caused by a penetrated peptic ulcer after esophageal replacement. Am J Gastroenterol 1988; 83: 862–864.
Vendsalu AA. Studies on adrenalin and noradrenalin in human plasma. Acta Physiol Scand 1960; 49: 1–123.
Wada D. Experimental study on cause of recurrent ulcer after selective proximal vagotomy with special reference to the effect of adrenalin. 1987; 10: 2278–2285.
Shahian DM, Kittle CF. Successful management of esophagopericardial fistula complicating esophagogastrectomy. J Thirac Cardiovasc Surg 1981; 82: 83–87.
Weich TG, White TR, Lewis RP, Altieri PI, Vaska JS, Kilman JW. Esophagopericardial fistula presenting as cardiac temponade. Chest 1972; 62: 728–731.
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Shima, I., Kakegawa, T., Fujita, H. et al. Gastropericardial and gastrobrachiocephalic vein fistulae caused by penetrating ulcers in a gastric pedicle following esophageal cancer resection: A case report. The Japanese Journal of Surgery 21, 96–99 (1991). https://doi.org/10.1007/BF02470872
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DOI: https://doi.org/10.1007/BF02470872