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

doi:10.1055/s-0038-1660833

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 journal › Article › Academic › peer-review

173 Downloads (Pure)

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 language	English
Pages (from-to)	e21-e23
Number of pages	3
Journal	Thoracic and cardiovascular surgeon reports
Volume	7
Issue number	1
DOIs	https://doi.org/10.1055/s-0038-1660833
Publication status	Published - Jan-2018

Keywords

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

Access to Document

10.1055/s-0038-1660833Licence: CC BY-NC-ND

Risk-Assessment of Esophageal Surgery: Diagnosis and Treatment of Celiac Trunk StenosisFinal publisher's version, 213 KBLicence: CC BY-NC-ND

Cite this

@article{aec277ef8e6d4be3bc8707a6520b4eda,

title = "Risk-Assessment of Esophageal Surgery: Diagnosis and Treatment of Celiac Trunk Stenosis",

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.",

keywords = "atherosclerosis, endovascular procedures, stents, except PCI, imaging (all modalities), perfusion, esophagectomy, complications, ANASTOMOTIC LEAKAGE, CALCIFICATION, ARTERIES",

author = "Lammerts, {Rosa G. M.} and {van Det}, {Marc J.} and Geelkerken, {Rob H.} and Kouwenhoven, {Ewout A.}",

year = "2018",

month = jan,

doi = "10.1055/s-0038-1660833",

language = "English",

volume = "7",

pages = "e21--e23",

journal = "Thoracic and cardiovascular surgeon reports",

issn = "2194-7635",

publisher = "GEORG THIEME VERLAG KG",

number = "1",

}

TY - JOUR

T1 - Risk-Assessment of Esophageal Surgery

T2 - Diagnosis and Treatment of Celiac Trunk Stenosis

AU - Lammerts, Rosa G. M.

AU - van Det, Marc J.

AU - Geelkerken, Rob H.

AU - Kouwenhoven, Ewout A.

PY - 2018/1

Y1 - 2018/1

N2 - 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.

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 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.

KW - atherosclerosis

KW - endovascular procedures

KW - stents

KW - except PCI

KW - imaging (all modalities)

KW - perfusion

KW - esophagectomy

KW - complications

KW - ANASTOMOTIC LEAKAGE

KW - CALCIFICATION

KW - ARTERIES

U2 - 10.1055/s-0038-1660833

DO - 10.1055/s-0038-1660833

M3 - Article

VL - 7

SP - e21-e23

JO - Thoracic and cardiovascular surgeon reports

JF - Thoracic and cardiovascular surgeon reports

SN - 2194-7635

IS - 1

ER -