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Updated: Feb 14, 2026

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
Intrathoracic leak after an Ivor Lewis procedure for an esophageal neoplasm treated with a stent
Natalia Afonso Luis1, María Asunción Acosta Mérida2, Joaquín Marchena Gómez2
1Cirugía General y del Aparato Digestivo, Hospital Dr. Negrín Las Palmas de Gran Canaria, España.
Abstract:
A 75-year-old male who underwent an Ivor Lewis esophagectomy due to a distal adenocarcinoma had a leak at the gastroplasty on the 5th day after surgery, which required two surgeries and a primary suture. He was transferred to our hospital due to a poor outcome and endoscopy revealed a 2.5cm gap perianastomotically on the gastroplasty wall, for which a stent was placed. Due to hemodynamic impairment, a thoracotomy procedure was performed, which revealed stent protrusion into the cavity. The patient underwent an esophagogastric anastomosis resection, cervical esophagostomy and gastrostomy. Sepsis was resolved postoperatively and the patient had a protracted stay in the PACU due to poor respiratory dynamics following a prolonged intubation.
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