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

R.G.M. Lammerts; M.J. van Det; R.H. Geelkerken; Ewout A. Kouwenhoven

doi:10.1055/s-0038-1660833

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 language	English
Pages (from-to)	e21-e23
Journal	The Thoracic and Cardiovascular Surgeon
Volume	07
Issue number	01
DOIs	https://doi.org/10.1055/s-0038-1660833
Publication status	Published - 1 May 2018
Externally published	Yes

Keywords

UT-Hybrid-D

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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.",

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AU - Lammerts, R.G.M.

AU - van Det, M.J.

AU - Geelkerken, R.H.

AU - Kouwenhoven, Ewout A.

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AB - 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.

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JO - The Thoracic and Cardiovascular Surgeon

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

Abstract

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