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Updated: Sep 2, 2025

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
A Case of Percutaneous Transesophageal Jejunostomy after Subtotal Esophagectomy
Takuji Maruyama1, Shuji Kariya1, Miyuki Nakatani1
1Department of Radiology, Kansai Medical University, Japan.
Abstract:
An 80-year-old woman who underwent subtotal esophagectomy with gastric tube reconstruction for esophageal cancer developed carcinoma of the left upper gingiva. The local recurrence of the gingival carcinoma resulted in trismus and prevented oral intake. Then she underwent a percutaneous transesophageal jejunostomy tube placement in the preserved cervical esophagus. Enteral feeding continued for three months with no complications until oral intake was possible. A percutaneous transesophageal jejunostomy is possible using the postoperatively preserved cervical esophagus.
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