An Endoscopic Solution when the Gastric Tube is Twisted after an Esophagectomy

Emma Eizaguirre Letamendia, Jose Ignacio Asensio Gallego, Santiago Larburu Echaniz, Javier Murgoitio Lazaro, Ander Timoteo Delgado, Inaki Prieto Argarate, Jose Maria Enriquez Navascues

Volume 16 Issue 2

Global Journal of Medical Research

Background and aims: The twisted gastric tube after an esophagectomy can be resolved with a minimally invasive treatment avoiding a reoperation. Methods: A 63 year old woman with tumor in the middle third of esophagus was operated on with esophagectomy and esophagogastric anastomosis in the neck. After 19days, she presented a funtional gastric tube estenosis secondary to rotation of the gastric tube. Results: A biodegradable stent was placed endoscopically and with interventional radiologist from the second portion of the duodenum to the prestenotic area of the gastric tube, fixed with clips. Conslusions: The biodegradable stent placement can be a possibility when a gastric tube volvulus occurs, avoiding a high risk reoperation.