Salivary Bypass Stent and Intercostal Muscle Flap for Treatment of Cervical Esophageal Conduit Ischemia and Perforation

Yu-Hsiang Wang ； Cheau-Feng Lin

《胸腔醫學》 38卷3期 (2023/09) Pp. 250-254

摘要

A 57-year-old man with esophageal squamous cell carcinoma in the middle to lower thoracic region underwent thoracoscopic esophagectomy and gastric tube reconstruction with mediastinal node dissection, and on the 7th day post-operation, developed cervical esophageal conduit ischemia and perforation. After decortication, intercostal muscle flap repair and adequate sepsis control, a salivary bypass tube (Boston Montgomery®) was emplaced to bypass the fistula and exclude the salivary alimentary stream. Few studies have reviewed the use of salivary bypass tubes for the management of cervical esophageal conduit ischemia. Herein, we reported a successful case of salvage salivary bypass stent placement for esophageal conduit ischemia and perforation.

關鍵字

Esophageal tumor ； Squamous cell carcinoma ； Anastomosis leakage Introduction