Subtotal esophagectomy with esophagogastroplasty after esophageal perforation and stent insertion: Case report of a challenging situation

Abstract

Merab A Kiladze, George Kherodinashvili, George Abuselidze, Irakli Gogokhia, Otar Kepuladze, Paata Tutberidze, Irakli Paichadze

We present a case of failure of uncovered metal esophageal stent removal, which was inserted after iatrogenic esophageal perforation during endoscopy. A 58-year-old male patient presented with dysphagia, chest pain, globus sensation and vomiting. Based on the data of the performed preoperative studies and to avoid the possibility of developing fatal complications (primarily aortoesophageal fistula) the surgical intervention was recommended. The successful subtotal esophagectomy with immediate esophagogastroplasty was then performed. The control X-Ray examination was performed at 6th p/o day, which reveals no extravasation and free passage of contrast to the distal part of GI tract. The patient started peroral eating and was discharged the Hospital at 7th p/o day. We consider, that this surgical procedure seems to be the most optimal and radical surgical intervention in case of failed esophageal stent placement.

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