CC BY-NC-ND 4.0 · THORAC CARDIOV SURG Reports 2018; 07(01): e21-e23
DOI: 10.1055/s-0038-1660833
Case Report: Thoracic
Georg Thieme Verlag KG Stuttgart · New York

Risk-Assessment of Esophageal Surgery: Diagnosis and Treatment of Celiac Trunk Stenosis

Rosa G.M. Lammerts
Division of Upper GI Surgery, Department of Surgery, Ziekenhuisgroep Twente, Almelo, Overijssel, The Netherlands
Department of Internal Medicine, University Medical Center Groningen, Groningen, The Netherlands
,
Marc J. van Det
Division of Upper GI Surgery, Department of Surgery, Ziekenhuisgroep Twente, Almelo, Overijssel, The Netherlands
,
Rob H. Geelkerken
Division of Vascular Surgery, Department of Surgery, Medisch Spectrum Twente, Enschede, Overijssel, The Netherlands
,
Ewout A. Kouwenhoven
Division of Upper GI Surgery, Department of Surgery, Ziekenhuisgroep Twente, Almelo, Overijssel, The Netherlands
› Author Affiliations
Further Information

Publication History

18 January 2018

03 May 2018

Publication Date:
22 June 2018 (online)

Abstract

Anastomotic leakage of the gastric conduit following surgical treatment of esophageal cancer is a life-threatening complication. An important risk factor associated with anastomotic leakage is calcification of the supplying arteries of the gastric conduit. The patency of calcified splanchnic arteries cannot be assessed on routine computed tomography (CT) scans for esophageal cancer and, as such, in selected patients with known or assumed mesenteric artery disease, additional CT angiography of the abdominal arteries with 1 mm slices is strongly encouraged. If the mesenteric perfusion is compromised in patients with resectable esophageal cancer, angioplasty procedures with stenting of the mesenteric arteries could be performed to prevent possible ischemia of the gastric conduit.