Two patients with debilitating reflux after esophagectomy are reported. Complete relief of symptoms after creation of a Roux-en-Y limb to the gastric conduit is described.
Get full access to this article
View all access options for this article.
References
1.
OrringerM.B., MarshallB., IannettoniM.D.Eliminating the cervical esophagogastric anastomotic leak with a side-to-side stapled anastomosis.J Thorac Cardiovasc Surg2000; 119: 277–88.
2.
HulscherJ.B., van SandickJ.W., de BoerA.G.Extended transthoracic resection compared with limited transhiatal resection for adenocarcinoma of the esophagus.N Engl J Med2002; 347: 1662–9.
3.
RentzJ., BullD., HarpoleD.Transthoracic versus transhiatal esophagectomy: a prospective study of 945 patients.J Thorac Cardiovasc Surg2003; 125: 1114–20.
4.
AlyA., JamiesonG.G.Reflux after oesophagectomy.Br J Surg2004; 91: 137–41.
5.
ShibuyaS., FukudoS., ShinehaR.High incidence of reflux esophagitis observed by routine endoscopic examination after gastric pull-up esophagectomy.World J Surg2003; 27: 580–3.
6.
SawyersJ.L., HerringtonJ.L.Jr., BuckspanG.S.Remedial operation for alkaline reflux gastritis and associated postgastrectomy syndromes.Arch Surg1980; 115: 519–24.
7.
KellyK.A., BeckerJ.M., van HeerdenJ.A.Reconstructive gastric surgery.Br J Surg1981; 68: 687–91.
8.
SmithJ., PayneW.P.Surgical technique for management of reflux esophagitis after esophagogastrectomy for malignancy. Further application of Roux-en-Y principle.May Clin Proc1975; 50: 588–90.
