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Updated: Apr 23, 2026

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
Endoscopic management of esophageal discontinuity
Edward T Chang1, Douglas S Ruhl1, Patrick R Kenny2
1Department of Otolaryngology, Tripler Army Medical Center, Honolulu, Hawaii.
Background:
The management of esophageal discontinuity remains challenging and often involves complex reconstructive surgeries.
Methods And Results:
We describe a unique and successful treatment of esophageal discontinuity using a modification of the natural orifice translumenal surgery (NOTES) approach in a patient presenting with long-standing esophageal discontinuity resulting from an iatrogenic esophageal injury.
Conclusion:
This case provided an opportunity to affirm the efficacy of endoscopy for treating esophageal discontinuities to minimize the degree of morbidity and mortality normally associated with the surgical treatment of this type of injury. Our case reveals a novel and possibly more direct means of evaluating and treating esophageal injuries in which the degree of discontinuity and/or stenosis initially remains unknown.
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