Risk-Assessment of Esophageal Surgery: Diagnosis and Treatment of Celiac Trunk Stenosis

Rosa G. M. Lammerts*, Marc J. van Det, Rob H. Geelkerken, Ewout A. Kouwenhoven

*Corresponding author for this work

    Research output: Contribution to journalArticleAcademicpeer-review

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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 1mm 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
    Number of pages3
    JournalThoracic and cardiovascular surgeon reports
    Volume7
    Issue number1
    DOIs
    Publication statusPublished - Jan-2018

    Keywords

    • atherosclerosis
    • endovascular procedures
    • stents
    • except PCI
    • imaging (all modalities)
    • perfusion
    • esophagectomy
    • complications
    • ANASTOMOTIC LEAKAGE
    • CALCIFICATION
    • ARTERIES

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