Schizas D, Michalinos A, Vergadis C, Oikonomou D, Baili E, Sougioultzis S, Moris D, Liakakos T
First Department of Surgery, National and Kapodistrian University of Athens, Laikon University Hospital , Athens , Greece.
Radiology Department, Laikon University Hospital , Athens , Greece.
Ann R Coll Surg Engl. 2019 Jan;101(1):e1-e4. doi: 10.1308/rcsann.2018.0146. Epub 2018 Oct 5.
Gastric tube conduit is the method of choice for restoring continuity of the digestive track after a partial or total esophagectomy. Redundant gastric conduit (i.e. an elongated, floppy conduit) is a rare cause of dysphagia in patients with long survival. Gastric tube volvulus is exceedingly rare with only three cases described in the literature. We present the diagnostic and therapeutic course of a 57-year-old man who presented to our department with gastric tube volvulus 32 months after an Ivor-Lewis esophagectomy. Diagnosis was made with computed tomography and volvulus was reduced endoscopically. To the best of our knowledge, this is only the fourth case of gastric tube volvulus described in the English literature. This rare situation might be a consequence of a redundant gastric tube. Endoscopic volvulus decompression was successful in our case.
胃管通道是部分或全食管切除术后恢复消化道连续性的首选方法。多余的胃管通道（即细长、松弛的通道）是长期存活患者吞咽困难的罕见原因。胃管扭转极为罕见，文献中仅描述了3例。我们介绍了一名57岁男性的诊断和治疗过程，该患者在接受艾弗-刘易斯食管切除术后32个月因胃管扭转前来我科就诊。通过计算机断层扫描做出诊断，并在内镜下复位扭转。据我们所知，这是英文文献中描述的第四例胃管扭转病例。这种罕见情况可能是胃管多余的结果。在我们的病例中，内镜下扭转减压成功。
