c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Esophagogastrectomy: 82

A D V E R T I S E M E N T

   
 

Prior to completing the closure, a 16 Fr. NG tube was passed across the anastomosis under direct vision and fixed in place at the patientís nose.       

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Esophagogastrectomy: 83

A D V E R T I S E M E N T

   

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The anterior wall of the anastomosis was completed with a second layer of 3-0 slik vertical sutures. The gastric tube was tacked to the mediastinal pleura to take tension off the anastomosis. Chest tubes were placed and the chest was closed in standard fashion. Esophagogram on post-op day 7 showed no leak. The study was done as a swallow first with gastrografin, followed by thin barium when the first contrast showed no evidence of leak. The final pathology was T4 (diaphragm invasion) N1 M0.   

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This page was last modified on 2/15/2006.