Nowicki Sam, Jorgenson Laura C, LaVere Michael, Wang Sherry, Parvinian Ahmad, Narayanasamy Sabarish, Colak Ceylan, Boyum James, Chan Alex
Department of Radiology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Emerg Radiol. 2025 Feb;32(1):113-124. doi: 10.1007/s10140-024-02292-4. Epub 2024 Oct 28.
This pictorial review aims to provide a structured approach to the interpretation of post esophagectomy CT by reviewing the major esophagectomy surgeries and conduit reconstructions, along with their associated complications at key anatomical landmarks. This paper combines an image rich experience and evidence-based approach to common and rare complications. The paper begins with an overview of the conventional Ivor Lewis esophagectomy and the expected postoperative imaging appearance (with separate detailed tables on additional surgical reconstructions), followed by a focused review of various complications at specific anatomical sites in a systematic fashion. By the conclusion of this review, radiologists will be equipped to employ a systematic approach to post-esophagectomy CT interpretation, confidently identifying both common and uncommon complications.
本图像综述旨在通过回顾主要的食管切除术及管道重建方法，以及关键解剖标志处的相关并发症，提供一种结构化的方法来解读食管切除术后的CT图像。本文结合了丰富的图像经验和基于证据的方法来探讨常见和罕见的并发症。文章首先概述了传统的艾弗·刘易斯食管切除术及术后预期的影像学表现（并附有关于其他手术重建方法的详细单独表格），随后以系统的方式重点回顾特定解剖部位的各种并发症。通过本综述，放射科医生将有能力采用系统的方法来解读食管切除术后的CT图像，自信地识别常见和不常见的并发症。
