A practical approach to the post esophagectomy CT: expected postoperative anatomy and anatomical approach to associated complication.
Computed tomography
Esophagectomy
Ivor lewis
Postoperative complications
Journal
Emergency radiology
ISSN: 1438-1435
Titre abrégé: Emerg Radiol
Pays: United States
ID NLM: 9431227
Informations de publication
Date de publication:
28 Oct 2024
28 Oct 2024
Historique:
received:
16
08
2024
accepted:
15
10
2024
medline:
28
10
2024
pubmed:
28
10
2024
entrez:
28
10
2024
Statut:
aheadofprint
Résumé
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.
Identifiants
pubmed: 39466485
doi: 10.1007/s10140-024-02292-4
pii: 10.1007/s10140-024-02292-4
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024. The Author(s), under exclusive licence to American Society of Emergency Radiology (ASER).
Références
Housman B, Lee DS, Flores R (2023) A narrative review of anastomotic leak in the Ivor Lewis esophagectomy: expected, accepted, but preventable. Transl Cancer Res 12:2405–2419. https://doi.org/10.21037/tcr-23-515
doi: 10.21037/tcr-23-515
pubmed: 37859730
pmcid: 10583019
Veziant J, Gaillard M, Barat M et al (2022) Imaging of postoperative complications following Ivor-Lewis esophagectomy. Diagn Interv Imaging 103:67–78. https://doi.org/10.1016/j.diii.2021.09.003
doi: 10.1016/j.diii.2021.09.003
pubmed: 34654670
Kim TJ, Lee KH, Kim YH et al (2007) Postoperative imaging of esophageal cancer: what chest radiologists need to know. Radiographics 27:409–429. https://doi.org/10.1148/rg.272065034
doi: 10.1148/rg.272065034
pubmed: 17374861
Bakshi A, Sugarbaker DJ, Burt BM (2017) Alternative conduits for esophageal replacement. Ann Cardiothorac Surg 6:137–143. https://doi.org/10.21037/acs.2017.03.07
doi: 10.21037/acs.2017.03.07
pubmed: 28447002
pmcid: 5387143
Dickinson KJ, Blackmon SH (2015) Management of Conduit Necrosis following Esophagectomy. Thorac Surg Clin 25:461–470. https://doi.org/10.1016/j.thorsurg.2015.07.008
doi: 10.1016/j.thorsurg.2015.07.008
pubmed: 26515946
Flanagan JC, Batz R, Saboo SS et al (2016) Esophagectomy and Gastric pull-through procedures: Surgical techniques, Imaging features, and potential complications. Radiographics 36:107–121. https://doi.org/10.1148/rg.2016150126
doi: 10.1148/rg.2016150126
pubmed: 26761533
Furst H, Hartl WH, Lohe F, Schildberg FW (2000) Colon interposition for esophageal replacement: an alternative technique based on the use of the right colon. Ann Surg 231:173–178. https://doi.org/10.1097/00000658-200002000-00004
doi: 10.1097/00000658-200002000-00004
pubmed: 10674607
pmcid: 1420983
Meyerson SL, Mehta CK (2014) Managing complications II: conduit failure and conduit airway fistulas. J Thorac Dis 6(Suppl 3):S364–371. https://doi.org/10.3978/j.issn.2072-1439.2014.03.32
doi: 10.3978/j.issn.2072-1439.2014.03.32
pubmed: 24876943
pmcid: 4037417
Sanchez MV, Alicuben ET, Luketich JD, Sarkaria IS (2022) Colon interposition for Esophageal Cancer. Thorac Surg Clin 32:511–527. https://doi.org/10.1016/j.thorsurg.2022.07.006
doi: 10.1016/j.thorsurg.2022.07.006
pubmed: 36266037
Peyre CG, Sugarbaker DJ (2020) Modified McKeown (Three-Hole) Esophagectomy. In: Sugarbaker DJ, Bueno R, Burt BM, Groth S, Loor G, Wolf AS (eds) Adult chest surgery, 3rd edn. McGraw Hill, pp 152–164
Goense L, Stassen PMC, Wessels FJ et al (2017) Diagnostic performance of a CT-based scoring system for diagnosis of anastomotic leakage after esophagectomy: comparison with subjective CT assessment. Eur Radiol 27:4426–4434. https://doi.org/10.1007/s00330-017-4802-3
doi: 10.1007/s00330-017-4802-3
pubmed: 28357496
pmcid: 5579173
Strauss C, Mal F, Perniceni T et al (2010) Computed tomography versus water-soluble contrast swallow in the detection of intrathoracic anastomotic leak complicating esophagogastrectomy (Ivor Lewis): a prospective study in 97 patients. Ann Surg 251:647–651. https://doi.org/10.1097/SLA.0b013e3181c1aeb8
doi: 10.1097/SLA.0b013e3181c1aeb8
pubmed: 19864934
Kim HR (2020) Stricture following Esophageal Reconstruction. Korean J Thorac Cardiovasc Surg 53:222–225. https://doi.org/10.5090/kjtcs.2020.53.4.222
doi: 10.5090/kjtcs.2020.53.4.222
pubmed: 32793456
pmcid: 7409887
Wormuth JK, Heitmiller RF (2006) Esophageal conduit necrosis. Thorac Surg Clin 16:11–22. https://doi.org/10.1016/j.thorsurg.2006.01.003
doi: 10.1016/j.thorsurg.2006.01.003
pubmed: 16696279
Chen KN (2014) Managing complications I: leaks, strictures, emptying, reflux, chylothorax. J Thorac Dis 6 Suppl 3S355–363. https://doi.org/10.3978/j.issn.2072-1439.2014.03.36
Mondoñedo JR, Chang AC (2021) A narrative review of paraconduit hernia after esophagectomy: where are we now? Video-Assisted Thorac Surg 7. https://vats.amegroups.org/article/view/6658
Strong S, Higgs S, Streets C et al (2012) Aorto-conduit fistula developing four years after esophagectomy. J Surg Case Rep 2012:8. https://doi.org/10.1093/jscr/2012.2.8
doi: 10.1093/jscr/2012.2.8
pubmed: 24960784
pmcid: 3649491
Li Y, Wang Y, Chen J et al (2020) Management of thoracogastric airway fistula after esophagectomy for esophageal cancer: a systematic literature review. J Int Med Res 48:300060520926025. https://doi.org/10.1177/0300060520926025
doi: 10.1177/0300060520926025
pubmed: 32459126
Feczko AF, Sudarshan M, Smolock CJ, Raja S (2021) Successful management of aorto-conduit fistula after esophagectomy: Tips and tricks to avoid catastrophe. JTCVS Tech 7:333–335. https://doi.org/10.1016/j.xjtc.2021.01.028
doi: 10.1016/j.xjtc.2021.01.028
pubmed: 34318283
pmcid: 8311545
Schieman C, Wigle DA, Deschamps C et al (2012) Patterns of operative mortality following esophagectomy. Dis Esophagus 25:645–651. https://doi.org/10.1111/j.1442-2050.2011.01304.x
doi: 10.1111/j.1442-2050.2011.01304.x
pubmed: 22243561