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Related Concept Videos

Esophageal Strictures-II: Clinical Features and Management01:26

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Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
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Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

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An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
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A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
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Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
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Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

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Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
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Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
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Updated: Nov 16, 2025

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
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Mechanical triangular esophagogastrostomy: Technical aspects and initial results.

Alfredo Vivas López1, Elías Rodríguez Cuellar1, Alberto García Picazo1

  • 1Servicio de Cirugía General y del Aparato Digestivo, Hospital 12 de Octubre, Madrid, España.

Cirugia Espanola
|February 27, 2021
PubMed
Summary

This study evaluated mechanical triangular esophagogastrostomy after esophagectomy. Initial results suggest it may be a safe and effective option for esophagogastric anastomosis, with potential for improved outcomes.

Keywords:
AnastomosisEsofaguectomíaGastroesophagealTriangular mecánicaTriangulating mechanical

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Area of Science:

  • Surgical Oncology
  • Gastrointestinal Surgery
  • Thoracic Surgery

Background:

  • Esophageal cancer is a significant global health concern, ranking as the eighth most common neoplasm worldwide.
  • Surgical resection is the most effective treatment, with esophagogastrostomy being a critical step in the procedure.
  • Limited Western literature exists on mechanical triangular esophagogastrostomy techniques.

Purpose of the Study:

  • To describe the technical aspects of mechanical triangular esophagogastrostomy.
  • To report the initial outcomes of this anastomosis technique following esophagectomy.

Main Methods:

  • Retrospective review of patients undergoing esophagectomy using the McKeown technique.
  • Inclusion criteria: patients who had triangular esophagogastrostomy anastomosis between October 2017 and March 2020.
  • Data collected on operative time, anastomotic complications, and length of stay.

Main Results:

  • 14 patients were included, with a mean age of 63 years.
  • Anastomotic leak occurred in 3 patients (21.4%), and 3 patients (21.4%) experienced anastomotic stenosis.
  • The median hospital stay was 20 days, with no reported deaths.

Conclusions:

  • The study observed outcomes consistent with literature suggesting mechanical triangular anastomosis may reduce anastomotic leak and stenosis rates.
  • Despite a small sample size, rapid improvement in indicators was noted after initial cases.
  • Mechanical triangular esophagogastrostomy appears to be a safe option for esophagogastric reconstruction, warranting further definitive studies.