Risk-assessment of esophageal surgery: Diagnosis and Treatment of celiac trunk stenosis

R.G.M. Lammerts (Corresponding Author), M.J. van Det, R.H. Geelkerken, Ewout A. Kouwenhoven

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Abstract

Anastomotic leakage of the gastric conduit following surgical treatment of esophageal cancer is a life-threatening complication. An important risk factor associated with anastomotic leakage is calcification of the supplying arteries of the gastric conduit. The patency of calcified splanchnic arteries cannot be assessed on routine computed tomography (CT) scans for esophageal cancer and, as such, in selected patients with known or assumed mesenteric artery disease, additional CT angiography of the abdominal arteries with 1 mm slices is strongly encouraged. If the mesenteric perfusion is compromised in patients with resectable esophageal cancer, angioplasty procedures with stenting of the mesenteric arteries could be performed to prevent possible ischemia of the gastric conduit.
Original languageEnglish
Pages (from-to)e21-e23
JournalThoracic and Cardiovascular Surgeon
Volume07
Issue number01
DOIs
Publication statusPublished - 1 May 2018
Externally publishedYes

Keywords

  • UT-Hybrid-D

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