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Gastric conduit reconstruction after esophagectomy with right gastroepiploic artery absence: a case report

Charalampous, C; Kofopoulos-Lymperis, E; Pikouli, A; Lykoudis, P; Pararas, N; Papaconstantinou, D; Nastos, C; ... Dellaportas, D; + view all (2023) Gastric conduit reconstruction after esophagectomy with right gastroepiploic artery absence: a case report. Journal of Surgical Case Reports , 2023 (8) , Article rjad474. 10.1093/jscr/rjad474. Green open access

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Abstract

Gastric conduit reconstruction is the standard choice after esophagectomy. Conduit’s vascular supply is of primary importance mainly based on right gastroepiploic vessels. A 57-year-old male with absent right gastroepiploic artery, due to a duodenal bleeding ulcer treated with gastroduodenal artery ligation 10 years ago, was treated for gastroesophageal cancer and required esophagectomy. Surgical merits of this troublesome scenario are highlighted. Previous surgical history is highly important for patients requiring complex surgery as esophagectomy. The use of the stomach as conduit after esophagectomy is always the primary option; however vascular supply of it should not be compromised. Variations are rare and careful planning may overcome obstacles as in this case.

Type: Article
Title: Gastric conduit reconstruction after esophagectomy with right gastroepiploic artery absence: a case report
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1093/jscr/rjad474
Publisher version: http://dx.doi.org/10.1093/jscr/rjad474
Language: English
Additional information: Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2023. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci
URI: https://discovery.ucl.ac.uk/id/eprint/10190706
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