Emergency gastrectomy with jejunal reconstruction during a Lewis procedure due to gastric stump ischemia: a case report
Lukashenko A.V., Kulai A.A., Nahornyi A.V., Vynohradova M.O.
Summary. Esophageal cancer is a relatively common disease that requires a comprehensive treatment approach. Surgical management of cardioesophageal cancer remains the standard of care. However, intraoperative complications may arise during the procedure, requiring immediate decision-making. This case report illustrates the surgical strategy when gastric stump ischemia is detected during a Lewis procedure. There are no unified protocols regarding the extent of resection and reconstruction methods in such situations. The aim of this study is to present a clinical case of successful treatment of esophageal cancer extending into the cardiac part of the stomach, with intraoperative detection of non-viability of the gastric stump during the Lewis procedure. Conclusions. Gastrectomy with esophageal reconstruction using the jejunum may be an option for selected patients when gastric stump ischemia is identified during the Lewis procedure.
Leave a comment